Pleasant Valley Manor Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

016612 Issued in MO

Legal business name

PLEASANT VALLEY MANOR INC

Practice address

6814 Sobbie Road
Liberty, MO 64068

Phone

(816) 781-5277

Fax

(816) 781-8273

NPI assigned

Sep 13, 2006

Organization subpart

No

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

Addresses

Other identifiers 1

Other names 1

• Pleasant Valley Manor Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265679

Legal name

PLEASANT VALLEY MANOR INC

Doing business as

PLEASANT VALLEY MANOR CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 1997

Last certification

Sep 5, 2024

Beds

102

Ownership / control type

Corporation

Multi-facility organization

Juckette Management Services

Organization structure

CorporationProprietary

Enrollment address

6814 Sobbie Rd
Pleasant Valley, MO 64068-9555

Nursing home name

PLEASANT VALLEY MANOR CARE CENTER

Affiliated entity

JUCKETTE FAMILY HOMES

Listed as

Pleasant Valley Manor Care CenterCCN 265679

Overall star rating

4 of 5

Health inspections

4 of 5

Staffing

4 of 5

Quality measures

4 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Aug 1, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

10262.8 residents per day on average

Chain

Juckette Family Homes6 facilities in the chain

Penalties (3 years)

2Fines totaling $24,235

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 16

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

Owners & managing parties with NPI records 1

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

• Louay K. Sabih, M.D.

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1003800459

  Adp of the SNF

  CMS ownership

Facilities with the same owner 5

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

• Fulton Manor Inc

  • Skilled Nursing Facility
  • Fulton, MO
  • NPI 1659476141

  Juckette Management Services Inc

  CMS ownership
• Independence Manor Inc

  • Skilled Nursing Facility
  • Independence, MO
  • NPI 1255436556

  Juckette Management Services Inc

  CMS ownership
• Kirksville Manor Inc

  • Skilled Nursing Facility
  • Kirksville, MO
  • NPI 1255436747

  Juckette Management Services Inc

  CMS ownership
• Livingston Manor Inc

  • Skilled Nursing Facility
  • Chillicothe, MO
  • NPI 1740385228

  Juckette Management Services Inc

  CMS ownership
• Warrensburg Manor Inc

  • Skilled Nursing Facility
  • Warrensburg, MO
  • NPI 1801991104

  Juckette Management Services Inc

  CMS ownership

Practitioners 1

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

• Louay K. Sabih, M.D.

  • Internal Medicine Physician
  • Overland Park, KS
  • NPI 1003800459
  NPD (past)

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343174400000",
    "number": "1295830776",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6814 SOBBIE ROAD",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64068",
            "telephone_number": "816-781-5277",
            "fax_number": "816-781-8273"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6814 SOBBIE ROAD",
            "city": "LIBERTY",
            "state": "MO",
            "postal_code": "64068",
            "telephone_number": "816-781-5277",
            "fax_number": "816-781-8273"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PLEASANT VALLEY MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-07-25",
        "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": "016612",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107811804",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Pleasant Valley Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Pamela Ann Pierce, APRN NP-C
• Elaina Pineda
• James Piontek, MD
• Lyndi Plattner, OTR/L
• Trent Andrew Platz, A.A.
• Lorianne Plummer
• Travis Plymell, PTA
• Emily Elizabeth Pope
• John Brian Pope, M.D.
• Thomas Porter, MD

• All providers in Liberty, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 25, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• 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.

Verify at the official NPI Registry.