Organization Active NPI

Bristol Care, Inc.

  • Assisted Living Facility
  • Chillicothe, MO
National Provider Identifier
1245446293
Registry record updated Oct 2, 2007
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
BRISTOL CARE, INC.
Practice address
603 Saint Louis Ave
Chillicothe, MO 64601-2438
Phone
(660) 717-1270
Fax
(660) 717-1270
NPI assigned
May 15, 2007
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 2, 2007

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Shelley D Ebeling
Title
Medicaid Billing Department
Phone
(660) 826-0200

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

603 Saint Louis Ave
Chillicothe, MO 64601-2438

Mailing address

201 W 3Rd St
Sedalia, MO 65301-4352
Phone (660) 826-0200

Other names 1

  • Ashbury Heights of Chillicothe Other name

National Provider Directory

National Provider Directory
Tax ID family
Bristol Care Inc62 organizations share this tax ID, including this one

Organizations with this tax ID in the same state 24

This tax ID family is large, so up to 24 of its organizations in the same state are linked here.

View all 24

Locations

603 Saint Louis Ave
Chillicothe, MO 64601
Phone (660) 717-1270

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1179187200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1191283200000",
    "number": "1245446293",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "201 W 3RD ST",
            "city": "SEDALIA",
            "state": "MO",
            "postal_code": "653014352",
            "telephone_number": "660-826-0200",
            "fax_number": "660-827-2027"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 SAINT LOUIS AVE",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012438",
            "telephone_number": "660-717-1270",
            "fax_number": "660-717-1270"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BRISTOL CARE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-05-15",
        "last_updated": "2007-10-02",
        "status": "A",
        "authorized_official_last_name": "EBELING",
        "authorized_official_first_name": "SHELLEY",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "MEDICAID BILLING DEPARTMENT",
        "authorized_official_telephone_number": "660-826-0200"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashbury Heights of Chillicothe",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Chillicothe, MO

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 2007; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.