Cuba Manor, Inc.
Organization
Active NPI
Skilled Nursing Facility · Cuba, MO
NPI 1447246830 · NPPES record last updated Sep 15, 2025
Key facts
- NPI
- 1447246830
- Entity type
- Organization (NPI type 2)
- Primary specialty
- Skilled Nursing Facility 314000000X
- License
- 031548 (MO)
- Legal business name
- CUBA MANOR, INC.
- Practice address
- 210 Eldon St
Cuba, MO 65453-1642
- Phone
- (573) 885-4500
- Fax
- (573) 885-4450
- NPI assigned
- Sep 21, 2005
- Organization subpart
- No
Authorized official
- Name
- Carla Hedrick, CFO
- Title
- Cfo
- Phone
- (573) 481-9625
Practitioners 4
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
Medicare Care Compare: Nursing home
- Listed as
- Cuba Manor Inc CCN 265652
- Overall star rating
- ★★★★☆ 4 of 5
- Health inspections
- ★★★★☆ 4 of 5
- Staffing
- ★★☆☆☆ 2 of 5
- Quality measures
- ★★☆☆☆ 2 of 5
- Type
- Medicare and Medicaid
- Ownership
- For profit - Corporation
- Certified
- Jul 22, 1996
- Certified beds
- 90 · 56.6 residents per day on average
- Chain
- James & Judy Lincoln (56 facilities)
Source: Medicare Care Compare, processed Aug 1, 2026.
Laboratory certificates & supplier records
Name & address match These CMS records do not include an NPI. They are shown here because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|
| 26D0916975 | Cuba Manor Inc
210 Eldon Drive, Cuba, MO 65453 | Certificate of waiver | Jul 7, 2028 |
Medicare participation
- Medicare fee-for-service enrollment
- Enrolled in MO
Skilled nursing facility certification: CCN 265652
- Legal name
- CUBA MANOR, INC.
- Doing business as
- CUBA MANOR
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 22, 1996
- Last certification
- Dec 11, 2024
- Beds
- 90
- Ownership / control type
- Corporation
- Multi-facility organization
- HEALTH SYSTEMS
- Organization structure
- Corporation · Proprietary
- Incorporated
- Apr 1, 2002 in MO
- Enrollment address
- 210 Eldon Drive
Cuba, MO 65453-1642 - Nursing home name
- CUBA MANOR INC
- Affiliated entity
- JAMES & JUDY LINCOLN
All disclosed owners & managing parties 8
As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.
| Name | Role | Since | Share |
|---|
Brandon Bysor
Individual
|
Corporate Director
Member |
Mar 21, 2022 |
50% |
Charlotte a Stutts
Individual
|
Corporate Officer
Secretary |
Oct 11, 2011 |
50% |
Timothy O Drake
Individual
|
Corporate Officer
President |
Mar 21, 2022 |
50% |
James Lincoln
Individual
|
General Partnership Interest
Member |
May 21, 2002 |
13% |
Mary Leija
Individual
|
W-2 Managing Employee
Administrator |
Mar 21, 2022 |
100% |
Cuba Manor, Inc.
Organization · Cuba, MO
Corporation |
Operational/Managerial Control |
Oct 24, 2016 |
100% |
James C Lincoln
Individual
|
5% Or Greater Direct Ownership Interest |
Apr 1, 2002 |
50% |
Judy L Lincoln
Individual
|
5% Or Greater Direct Ownership Interest |
Oct 24, 2016 |
50% |
Medicare enrollment records
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|
| O20050922000417 |
MO |
Part a Provider - Skilled Nursing Facility |
6709810427 |
Practice locations: Cuba, MO |
National Provider Directory
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|
| Skilled Nursing Facility |
314000000X |
031548 |
MO |
Yes |
Addresses
Primary practice location
210 Eldon St
Cuba, MO 65453-1642
Mailing address
210 Eldon St
Cuba, MO 65453-1642
Phone (573) 885-4500
Other identifiers
| Identifier | Type | State | Issuer |
|---|
| 16213459 | Other | MO | STATE ID |
| 108297904 | Medicaid | MO | |
Other names
- Cuba Manor Doing business as
Electronic endpoints
| Type | Endpoint | Use | Affiliation |
|---|
| CONNECT URL |
199.119.81.30:8291 |
Other |
eSolutions Inc |
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Sep 15, 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.
Verify at the official NPI Registry.