Hamilton No 1 Inc
Organization Active NPI Skilled Nursing Facility · Hamilton, MO
NPI 1144252149 · NPPES record last updated Jun 3, 2025
Key facts
- NPI
- 1144252149
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 044649 (MO)
- Legal business name
- HAMILTON NO 1 INC
- Practice address
- 801 S Colby St
Hamilton, MO 64644-8287 - Phone
- (816) 583-2119
- NPI assigned
- Jul 7, 2006
- Organization subpart
- No
Authorized official
- Name
- Donald B Bedell
- Title
- President
- Phone
- (573) 471-1276
Owners & managing parties with NPI records 2
-
Muhammad Mudassar Amin, M.D.
Facilities with the same owner 41
Practitioners 3
-
Muhammad Mudassar Amin, M.D.
-
William V Irby, DO
-
James W Neely, DO
Affiliated clinicians 2
-
Muhammad Mudassar Amin, M.D.
-
William V Irby, DO
Medicare Care Compare: Nursing home
- Listed as
- Hill Crest Manor
- Overall star rating
- ★☆☆☆☆ 1 of 5
- Health inspections
- ★★★☆☆ 3 of 5
- Staffing
- ★☆☆☆☆ 1 of 5
- Quality measures
- ★☆☆☆☆ 1 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jan 1, 1997
- Medicare certification status
- Active
- Certified beds
- 90 · 58.4 residents per day on average
- Chain
- Circle B Enterprises
- Penalties (3 years)
- 2 · fines totaling $13,033
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265665
- Legal name
- HAMILTON NO 1 INC
- Doing business as
- HILL CREST MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jan 1, 1997
- Last certification
- Jan 29, 2025
- Beds
- 90
- Ownership / control type
- Individual
- Multi-facility organization
- AVANTE GUARD
- Organization structure
- Corporation · Proprietary
- Enrollment address
- 801 S Colby
Hamilton, MO 64644-8287 - Nursing home name
- HILL CREST MANOR
- Affiliated entity
- CIRCLE B ENTERPRISES
All disclosed owners & managing parties 15
| Name | Role | Since | Share |
|---|---|---|---|
| Tyler O'Neal |
Operational/Managerial Control | Sep 12, 2025 | |
| Adp of the SNF | Sep 12, 2025 | ||
| Sovereign Healthcare Group LLC |
Operational/Managerial Control | Apr 23, 2021 | |
| Adp of the SNF | Apr 6, 2025 | ||
| |
Adp of the SNF | Jan 1, 2000 | |
| FG LLC |
Adp of the SNF | Dec 2, 2016 | |
| Mid States Inc |
Adp of the SNF | Nov 1, 2010 | |
| Van de Ven LLC |
Adp of the SNF | Jan 1, 2000 | |
| |
Adp of the SNF | Dec 8, 2004 | |
| Circle B Enterprises Holding Company Inc |
5% Or Greater Direct Ownership Interest | May 18, 2001 | 100% |
| Todd Beaird |
Corporate Officer |
Jan 1, 2022 | |
| Adp of the SNF | Jan 1, 2022 | ||
| Donald B Bedell |
Corporate Officer |
May 18, 2001 | 100% |
| Corporate Director |
May 18, 2001 | ||
| Operational/Managerial Control | May 18, 2001 | ||
| Muhammad M Amin |
Operational/Managerial Control | Oct 1, 2022 | |
| Adp of the SNF | Oct 1, 2022 | ||
| DCB Real Estate Partnership LP |
Adp of the SNF | Apr 11, 2025 | |
| Forvis Mazars LLP |
Adp of the SNF | Aug 16, 2021 | |
| Agh1 LLC |
Operational/Managerial Control | Dec 2, 2016 | |
| Adp of the SNF | Mar 25, 2025 | ||
| Hamilton Development Properties LLC |
Adp of the SNF | Jan 1, 2010 |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20050608000127 | MO | Part a Provider - Skilled Nursing Facility | 4981647203 | Practice locations: Hamilton, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 044649 | MO | Yes |
Addresses
Primary practice location
801 S Colby St
Hamilton, MO 64644-8287
Mailing address
PO Box 1210
Sikeston, MO 63801-1210
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 101477909 | Medicaid | MO |
Other names
- Hill Crest Manor
Other providers in Hamilton, MO
- Shawn Wayne Brown
- Cameron Regional Medical Center Inc
- Sarah Margaret Connelly
- Kala Ann Cummings
- Manon Ellsworth
- Hamilton R-II School District
- Natalie Jill Hibler
- Innate Way Family Chiropractic, LLC
- William V Irby
- Arihant Jain
All providers in Hamilton, MO · Skilled Nursing Facility in Missouri
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Jun 3, 2025. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- Medicare Fee-For-Service Public Provider Enrollment (CMS/PECOS): enrollments, PAC IDs and benefit reassignments.
- CMS facility enrollments, All Owners and change-of-ownership files: CCNs, owners and managing parties.
- Provider of Services files (CMS): certification status, beds and related CCNs.
- Medicare Care Compare provider data (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.