Active NPI
Labelle Manor Inc
- Skilled Nursing Facility
- La Belle, MO
On this page
- Key facts
- Authorized official
- Practitioners1
- Affiliated clinicians1
- Care Compare: Nursing home
- Laboratory certificates & supplier records
- Medicare participation
- Skilled nursing facility certification: CCN 265646
- All disclosed owners & managing parties5
- National Provider Directory
- Specialties & licenses1
- Addresses
- Other identifiers1
- Other names1
- NPI Registry JSON
- Other providers in La Belle, MO
- Sources for this page
Key facts
NPPES NPI Registry- Primary specialty
- Skilled Nursing Facility
- License
- 027017
- Legal business name
- LABELLE MANOR INC
- Practice address
- 1002 Central St
La Belle, MO 63447-2092 - Phone
- (660) 213-3234
- Fax
- (660) 213-3845
- NPI assigned
- Sep 13, 2006
- Organization subpart
- No
Authorized official
NPPES NPI Registry- Name
- Ms. Izena Monk, LNHA
- Title
- Administrator
- Phone
- (660) 213-3234
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Geriatric Medicine (Family Medicine) Physician
- Quincy, IL
- NPI 1427495803
Affiliated clinicians 1
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Family Medicine) Physician
- Quincy, IL
- NPI 1427495803
Nursing home
Care Compare: Nursing home
Medicare Care Compare- Listed as
- La Belle Manor Care Center
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- For profit - Limited Liability company
- Certified
- Jul 1, 1996
- Medicare certification status
- Active
- Certified beds
- 94
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 26D0886751 | Labelle Manor Care Center | Certificate of waiver | May 25, 2028 |
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in MO
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| O20090513000259 | MO | Part a Provider - Skilled Nursing Facility | 5698824167 | Practice locations: La Belle, MO |
Skilled nursing facility certification: CCN 265646
Medicare enrollment files- Legal name
- LABELLE MANOR INC
- Doing business as
- LABELLE MANOR CARE CENTER
- Certification status
- Active
- Provider type (POS)
- Nursing home – SNF/NF dual certification
- Participating since
- Jul 1, 1996
- Last certification
- May 30, 2025
- Beds
- 94
- Ownership / control type
- Limited Liability Corporation
- Organization structure
- Corporation
- Enrollment address
- 1002 Central St
La Belle, MO 63447-2092 - Nursing home name
- LA BELLE MANOR CARE CENTER
All disclosed owners & managing parties 5
Medicare enrollment filesAs 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 |
|---|---|---|---|
| James Renot | Corporate Director | Feb 15, 2022 | |
| Deborah Strange-Pinson | Contracted Managing Employee | Dec 22, 2009 | |
| Corporate Officer | Dec 22, 2009 | ||
| Corporate Director | Dec 22, 2009 | ||
| Labelle Manor Inc | 5% Or Greater Indirect Ownership Interest | May 17, 2006 | 6.13% |
| Operational/Managerial Control | May 6, 2009 | 6.13% | |
| Linda Bradshaw | Corporate Director | Aug 26, 2009 | 23.28% |
| Rodney Freeman | Corporate Director | Feb 15, 2022 |
National Provider Directory
National Provider DirectorySpecialties & licenses 1
NPPES NPI Registry| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Skilled Nursing Facility | 314000000X | 027017 | MO | Primary |
Addresses
NPPES NPI RegistryPrimary practice location
1002 Central St
La Belle, MO 63447-2092
Mailing address
1002 Central St
La Belle, MO 63447-2092
Phone (660) 213-3234
Other identifiers 1
NPPES NPI Registry| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107808404 | Medicaid | MO |
Other names 1
NPPES NPI Registry- LaBelle Manor Care Center
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format, last updated by the provider on May 14, 2009.
{
"created_epoch": "1158105600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242259200000",
"number": "1598860074",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1002 CENTRAL ST",
"city": "LA BELLE",
"state": "MO",
"postal_code": "634472092",
"telephone_number": "660-213-3234",
"fax_number": "660-213-3845"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1002 CENTRAL ST",
"city": "LA BELLE",
"state": "MO",
"postal_code": "634472092",
"telephone_number": "660-213-3234",
"fax_number": "660-213-3845"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LABELLE MANOR INC",
"organizational_subpart": "NO",
"enumeration_date": "2006-09-13",
"last_updated": "2009-05-14",
"status": "A",
"authorized_official_last_name": "MONK",
"authorized_official_first_name": "IZENA",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "660-213-3234",
"authorized_official_name_prefix": "Ms.",
"authorized_official_credential": "LNHA"
},
"taxonomies": [
{
"code": "314000000X",
"taxonomy_group": "",
"desc": "Skilled Nursing Facility",
"state": "MO",
"license": "027017",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "107808404",
"state": "MO"
}
],
"endpoints": [],
"other_names": [
{
"organization_name": "LaBelle Manor Care Center",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in La Belle, MO
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2009; 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.