Organization Active NPI

Labelle Manor Inc

  • Skilled Nursing Facility
  • La Belle, MO
National Provider Identifier
1598860074
Registry record updated May 14, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
027017 Issued in MO
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.

Affiliated clinicians 1

Clinicians who list this facility as an affiliation in Medicare Care Compare.

Care Compare: Nursing home

Medicare Care Compare
Listed as
La Belle Manor Care CenterCCN 265646
Overall star rating
1 of 5
Health inspections
2 of 5
Staffing
1 of 5
Quality measures
2 of 5
Type
Medicare and Medicaid
Ownership
For profit - Limited Liability company
Certified
Jul 1, 1996
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
9440.5 residents per day on average

Processed by Care Compare on Aug 1, 2026.

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D0886751Labelle Manor Care Center1002 Central, La Belle, MO 63447Certificate of waiverMay 25, 2028

Medicare participation

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

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
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
CorporationProprietary
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 files

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

NameRoleSinceShare
James Renot Individual Corporate DirectorBoard Member Feb 15, 2022
Deborah Strange-Pinson Individual Contracted Managing Employee Dec 22, 2009
Corporate Officer Dec 22, 2009
Corporate Director Dec 22, 2009
Labelle Manor Inc Organization, La Belle, MO For-profit 5% Or Greater Indirect Ownership Interest May 17, 2006 6.13%
Operational/Managerial Control May 6, 2009 6.13%
Linda Bradshaw Individual Corporate DirectorBoard Member Aug 26, 2009 23.28%
Rodney Freeman Individual Corporate DirectorBoard Member Feb 15, 2022

National Provider Directory

National Provider Directory

Specialties & licenses 1

NPPES NPI Registry
Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X 027017 MO Primary

Addresses

NPPES NPI Registry

Primary 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
IdentifierTypeStateIssuer
107808404MedicaidMO

Other names 1

NPPES NPI Registry
  • LaBelle Manor Care Center Doing business as

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

Verify at the official NPI Registry.