Columbia Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

015988 Issued in MO

Legal business name

COLUMBIA MANOR, INC.

Doing business as

Columbia Manor Care Center

Practice address

2012 E Nifong Blvd
Columbia, MO 65201-3874

Phone

(573) 449-1246

Fax

(573) 874-8753

NPI assigned

Sep 13, 2006

Last updated

Nov 23, 2016By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Benjamin C. Scheulen

Title

Ceo

Phone

(573) 556-6240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Columbia Manor Care Center Doing business as

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1538264015",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2012 E NIFONG BLVD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013874",
            "telephone_number": "573-449-1246",
            "fax_number": "573-874-8753"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2012 E NIFONG BLVD",
            "city": "COLUMBIA",
            "state": "MO",
            "postal_code": "652013874",
            "telephone_number": "573-449-1246",
            "fax_number": "573-874-8753"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COLUMBIA MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "SCHEULEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-556-6240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "015988",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107809006",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Columbia Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Columbia Hearing Center
• Columbia Hearing Center
• Columbia Implants and Periodontics L.L.C.
• Columbia Interventional Pain Center LLP
• Columbia Manor Health & Rehabilitation LLC
• Columbia Medical Supplies
• Columbia Musculoskeletal Surgery CNTR LLC
• Columbia Nephrology & Internal Medicine, PC
• Columbia Oral & Maxillofacial Surgery LLC
• Columbia Oral and Maxillofacial Services, LLC

• Skilled Nursing Facility in Columbia, MO
• Providers in Columbia, MO by specialty
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.