NPIMap

Organization Active NPI

Missouri Nursing Home & Rehab LLC

Doing business as Community Manor

  • Skilled Nursing Facility
  • Farmington, MO
National Provider Identifier
1518436724
Registry record updated Nov 25, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
Legal business name
MISSOURI NURSING HOME & REHAB LLC
Doing business as
Community Manor
Practice address
783 Weber Road
Farmington, MO 63640-3318
Phone
(573) 756-8998
Fax
(573) 756-1577
NPI assigned
Nov 16, 2018
Last updated
Nov 25, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 25, 2025

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

Authorized official

Name
Mr. Shafiq M Malik
Title
President
Phone
(573) 335-3044

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X Primary

Addresses

Primary practice location

783 Weber Road
Farmington, MO 63640-3318

Mailing address

2215 Broadway St
Cape Girardeau, MO 63701-4403
Phone (573) 271-5311

Other names 1

  • Community Manor Doing business as

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20191122002327 MO Part A Provider - Skilled Nursing Facility 9234561234 Practice locations: Farmington, MO

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1518436724. Details of each certification follow.

Skilled nursing facility certification: CCN 265798

Legal name
MISSOURI NURSING HOME & REHAB LLC
Doing business as
COMMUNITY MANOR
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
May 26, 2005
Last certification
Jun 21, 2024
Beds
99
Ownership / control type
Limited Liability Corporation
Organization structure
LLCProprietary
Enrollment address
783 Weber Rd
Farmington, MO 63640-3318
Nursing home name
COMMUNITY MANOR
Affiliated entity
SHAFIQ MALIK

Care Compare: Nursing home

Medicare Care Compare
Listed as
Community ManorCCN 265798 · All quality measures
Overall star rating
3 of 5
Health inspections
4 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
May 26, 2005
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9994.9 residents per day on average
Chain
Shafiq Malik9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Locations

783 Weber Rd
Farmington, MO 63640
Phone (573) 756-8997

10954 Kennerly Rd
Saint Louis, MO 63128
Phone (314) 843-4242

Ownership & related parties

All disclosed owners & managing parties 5

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

NameRoleSinceShare
Omer Malik Individual Corporate OfficerVice President Nov 1, 2019
Operational/Managerial Control Sep 28, 2018
Managing Control - Governing BodyVice President Sep 28, 2018
Adp of the SNF Sep 28, 2018
Direct Ownership Interest Sep 28, 2018 50%
Lora Parks Individual Operational/Managerial Control Oct 1, 2021
Adp of the SNF Dec 10, 2025
Individual Operational/Managerial Control Jan 1, 2024
Adp of the SNF Dec 10, 2025
Forvis Mazars LLP Organization, Springfield, MO Adp of the SNF Jan 1, 2024
Shafiq Malik Individual Corporate OfficerPresident Nov 1, 2019
Operational/Managerial Control Sep 28, 2018
Managing Control - Governing BodyPresident Sep 28, 2018
Adp of the SNF Sep 28, 2018
Direct Ownership Interest Sep 28, 2018 50%

Practitioners & affiliated clinicians

Practitioners 4

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

Affiliated clinicians 5

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": "1542326400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1764028800000",
    "number": "1518436724",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2215 BROADWAY ST",
            "city": "CAPE GIRARDEAU",
            "state": "MO",
            "postal_code": "637014403",
            "telephone_number": "573-271-5311",
            "fax_number": "573-335-6724"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "783 WEBER ROAD",
            "city": "FARMINGTON",
            "state": "MO",
            "postal_code": "636403318",
            "telephone_number": "573-756-8998",
            "fax_number": "573-756-1577"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MISSOURI NURSING HOME & REHAB LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-11-16",
        "last_updated": "2025-11-25",
        "certification_date": "2025-11-25",
        "status": "A",
        "authorized_official_last_name": "MALIK",
        "authorized_official_first_name": "SHAFIQ",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "573-335-3044",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Community Manor",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Farmington, MO

Sources for this page

Verify at the official NPI Registry.