Active NPI
Winchester Place Assisted Living
- Assisted Living Facility
- Bernie, MO
National Provider Identifier
1275675753
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- WINCHESTER PLACE ASSISTED LIVING
- Doing business as
- Winchester Place Assisted Living
- Practice address
- 404 Winchester Dr
Bernie, MO 63822-7500 - Phone
- (573) 293-6705
- Fax
- (573) 293-6710
- NPI assigned
- Feb 13, 2007
- Last updated
- Dec 6, 2021
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Benjamin Sells, LNHA
- Title
- President
- Phone
- (573) 293-6702
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
404 Winchester Dr
Bernie, MO 63822-7500
Mailing address
PO Box 760
Bernie, MO 63822-0760
Phone (573) 293-6705
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 049736 | Other | MO | ALF-II STATE LICENSE |
Other names 1
- WINCHESTER PLACE ASSISTED LIVING
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | https://pointclickcare.com/ | Direct |
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D2130463 | Winchester Place Assisted Living Facility | Certificate of waiver | May 8, 2027 |
National Provider Directory
National Provider DirectoryLocations
404 Winchester Dr
Bernie, MO 63822
Phone (573) 293-6705
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1171324800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1638748800000",
"number": "1275675753",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "PO BOX 760",
"city": "BERNIE",
"state": "MO",
"postal_code": "638220760",
"telephone_number": "573-293-6705",
"fax_number": "573-293-6710"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "404 WINCHESTER DR",
"city": "BERNIE",
"state": "MO",
"postal_code": "638227500",
"telephone_number": "573-293-6705",
"fax_number": "573-293-6710"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "WINCHESTER PLACE ASSISTED LIVING",
"organizational_subpart": "NO",
"enumeration_date": "2007-02-13",
"last_updated": "2021-12-06",
"certification_date": "2021-12-06",
"status": "A",
"authorized_official_last_name": "SELLS",
"authorized_official_first_name": "BENJAMIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "573-293-6702",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ALF-II STATE LICENSE",
"identifier": "049736",
"state": "MO"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "https://pointclickcare.com/",
"affiliation": "N",
"endpointDescription": "SEBURE WEB BASED SYSTEM",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "OTHER",
"contentTypeDescription": "Other",
"contentOtherDescription": "Point Click Care EHR",
"address_1": "404 Winchester Dr",
"city": "Bernie",
"state": "MO",
"country_code": "US",
"postal_code": "638227500",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "WINCHESTER PLACE ASSISTED LIVING",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Bernie, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 6, 2021; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.