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Bristol Care, Inc.

Organization Active NPI Assisted Living Facility · Camdenton, MO

NPI 1497960025 · NPPES record last updated Oct 2, 2007

Key facts

NPI
1497960025
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
BRISTOL CARE, INC.
Practice address
76 4TH St
Camdenton, MO 65020-6891
Phone
(573) 346-6800
Fax
(573) 346-6800
NPI assigned
May 14, 2007
Organization subpart
No

Authorized official

Name
Mrs. Shelley Deanne Ebeling
Title
Medicaid Billing Department
Phone
(660) 826-0200

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

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 numberLaboratoryCertificateExpires
26D1049708Bristol Manor of Camdenton
76 Fourth Street, Camdenton, MO 65020		Certificate of waiverJan 12, 2028

National Provider Directory

Tax ID family
Bristol Care Inc (62 organizations share this tax ID)

Locations

75 4th St
Camdenton, MO 65020
Phone (573) 346-6800

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

76 4TH St
Camdenton, MO 65020-6891

Mailing address

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

Other names

  • Bristol Manor of Camdenton Other name

Other providers in Camdenton, MO

All providers in Camdenton, MO · Assisted Living Facility in Missouri

Sources for this page

Verify at the official NPI Registry.