NPIMap

Organization Active NPI

Kirksville Manor Inc

  • Skilled Nursing Facility
  • Kirksville, MO
National Provider Identifier
1255436747
Registry record updated Jun 29, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
017422 Issued in MO
Legal business name
KIRKSVILLE MANOR INC
Practice address
1705 E Laharpe St
Kirksville, MO 63501-3927
Phone
(660) 665-3774
Fax
(660) 627-1991
NPI assigned
Sep 13, 2006
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 29, 2012

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

Authorized official

Name
Mr. Hal Juckette
Title
Director of Operations
Phone
(660) 646-5385

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 017422 MO Primary

Addresses

Primary practice location

1705 E Laharpe St
Kirksville, MO 63501-3927

Mailing address

1705 E Laharpe St
Kirksville, MO 63501-3927
Phone (660) 665-3774

Other identifiers 1

IdentifierTypeStateIssuer
102020500MedicaidMD

Other names 1

  • Kirksville Manor Care Center Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MO

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20111102000271 MO Part A Provider - Skilled Nursing Facility 7113190414 Practice locations: Kirksville, MO

Skilled nursing facility certification: CCN 265247

Legal name
KIRKSVILLE MANOR INC
Doing business as
KIRKSVILLE MANOR CARE CENTER
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Sep 26, 1984
Last certification
Feb 16, 2024
Beds
132 (119 certified)
Ownership / control type
Corporation
Organization structure
CorporationProprietary
Enrollment address
1705 E Laharpe St
Kirksville, MO 63501-3927
Nursing home name
KIRKSVILLE MANOR CARE CENTER
Affiliated entity
JUCKETTE FAMILY HOMES

Care Compare: Nursing home

Medicare Care Compare
Listed as
Kirksville Manor Care CenterCCN 265247
Overall star rating
1 of 5
Health inspections
1 of 5
Staffing
1 of 5
Quality measures
1 of 5
Type
Medicare and Medicaid
Ownership
For profit - Corporation
Certified
Sep 26, 1984
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
11950.8 residents per day on average
Chain
Juckette Family Homes6 facilities in the chain
Penalties (3 years)
4Fines totaling $250,823

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0719317Kirksville Manor Care Center1705 E Laharpe Street, Kirksville, MO 63501Certificate of waiverAug 31, 2026

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 18

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Organization, Chillicothe, MO Adp of the SNF Oct 14, 2025
Michael Jones Individual Operational/Managerial Control Jul 1, 2025
Adp of the SNF Jul 1, 2025
Juckette Management Services Inc Organization, Chillicothe, MO Corporation, For-profit, Chain home office Operational/Managerial Control Dec 1, 2015
Adp of the SNF Oct 14, 2025
Curana Health of Missouri-Kansas LLC Organization, Lees Summit, MO Medical provider/supplier Operational/Managerial Control Jan 1, 2023
Adp of the SNF Oct 14, 2025
Holly Juckette Individual Corporate OfficerSecretary Nov 3, 2015
Corporate DirectorBoard Member Nov 3, 2015
Operational/Managerial Control Dec 1, 2015
Adp of the SNF Dec 1, 2015
Randall a Steele Individual Corporate DirectorBoard Member Jul 1, 2009
Operational/Managerial Control Dec 1, 2015
Adp of the SNF Dec 1, 2015
Lisa Steele Individual Corporate OfficerVice President Nov 3, 2015
Corporate DirectorBoard Member Nov 3, 2015
Operational/Managerial Control Dec 1, 2015
Adp of the SNF Dec 1, 2015
Kristianna Mansour Individual Operational/Managerial Control Nov 26, 2020
Adp of the SNF Nov 26, 2020
Kirksville Manor Inc Organization, Kirksville, MO Corporation, For-profit 5% Or Greater Direct Ownership Interest Jun 27, 1975 100%
Adp of the SNF Sep 22, 1972
Direct Ownership Interest Sep 22, 1972
Joyce E Juckette Individual 5% Or Greater Direct Ownership InterestPresident Jan 1, 1999 82.5%
Corporate OfficerPresident Nov 3, 2015
Corporate DirectorBoard Member Nov 3, 2015
Operational/Managerial Control Dec 1, 2015
Adp of the SNF Dec 1, 2015
Organization, Springfield, MO Adp of the SNF Oct 14, 2025
Nichole Biesenthal Individual Operational/Managerial Control Feb 26, 2024
Adp of the SNF Feb 26, 2024
Teresa Hudlemeyer Individual Operational/Managerial Control Dec 1, 2021
Adp of the SNF Dec 1, 2021
Cory Eslinger Individual Operational/Managerial Control Apr 1, 2024
Adp of the SNF Apr 1, 2024
Organization, Ashland, NE LLC Adp of the SNF Oct 14, 2025
Margaret a Miller Individual 5% Or Greater Direct Ownership Interest Jun 10, 2005 17.5%
Teri Neuroth Individual Corporate OfficerTreasurer Nov 3, 2015
Corporate DirectorBoard Member Nov 3, 2015
Operational/Managerial Control Dec 1, 2015
Adp of the SNF Dec 1, 2015
Audrey Plowman Individual Operational/Managerial Control Feb 24, 2025
Adp of the SNF Feb 24, 2025

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Affiliated clinicians 6

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1340928000000",
    "number": "1255436747",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1705 E LAHARPE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013927",
            "telephone_number": "660-665-3774",
            "fax_number": "660-627-1991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1705 E LAHARPE ST",
            "city": "KIRKSVILLE",
            "state": "MO",
            "postal_code": "635013927",
            "telephone_number": "660-665-3774",
            "fax_number": "660-627-1991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "KIRKSVILLE MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-06-29",
        "status": "A",
        "authorized_official_last_name": "JUCKETTE",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "660-646-5385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "017422",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102020500",
            "state": "MD"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Kirksville Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Kirksville, MO

Sources for this page

Verify at the official NPI Registry.