Fulton Manor Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

015923 Issued in MO

Legal business name

FULTON MANOR INC

Doing business as

Fulton Manor Care Center

Practice address

520 Manor Dr
Fulton, MO 65251-2429

Phone

(573) 642-6834

Fax

(573) 642-5767

NPI assigned

Sep 13, 2006

Last updated

Jul 16, 2012By 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

Mr. Hal Juckette

Title

Director of Operations

Phone

(660) 646-5385

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Fulton Manor Care Center Doing business as

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1659476141. Details of each certification follow.

• CCN 265760 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265760

Legal name

FULTON MANOR INC

Doing business as

FULTON MANOR CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Aug 1, 2003

Last certification

Jan 30, 2025

Beds

52

Ownership / control type

Corporation

Multi-facility organization

JUCKETTE FAMILY HOMES

Organization structure

CorporationProprietary

Enrollment address

520 Manor Dr
Fulton, MO 65251-2429

Nursing home name

FULTON MANOR CARE CENTER

Affiliated entity

JUCKETTE FAMILY HOMES

Listed as

Fulton Manor Care CenterCCN 265760 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Aug 1, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5245.6 residents per day on average

Chain

Juckette Family Homes6 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Processed by Care Compare on Aug 1, 2026.

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

CLIA laboratory certificates

All disclosed owners & managing parties 16

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

Owners & managing parties with NPI records 2

Owners and managing parties disclosed on this facility’s Medicare enrollment that are themselves Medicare-enrolled.

• Curana Health of Missouri-Kansas LLC

  dba Elite Patient Care

  • Family Medicine Physician
  • Lee's Summit, MO
  • NPI 1306165337

  Adp of the SNF, Operational/Managerial Control

  CMS ownership
• Terry L Thrasher, D.O.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1962492223

  Adp of the SNF

  CMS ownership

Facilities with the same owner 5

Facilities that share an organizational owner with 5% or greater ownership or operational control.

• Independence Manor Inc

  dba Independence Manor Care Center

  • Skilled Nursing Facility
  • Independence, MO
  • NPI 1255436556

  Juckette Management Services Inc

  CMS ownership
• Kirksville Manor Inc

  dba Kirksville Manor Care Center

  • Skilled Nursing Facility
  • Kirksville, MO
  • NPI 1255436747

  Curana Health of Missouri-Kansas LLC, Juckette Management Services Inc

  CMS ownership
• Livingston Manor Inc

  dba Livingston Manor Care Center

  • Skilled Nursing Facility
  • Chillicothe, MO
  • NPI 1740385228

  Juckette Management Services Inc

  CMS ownership
• Pleasant Valley Manor Inc

  dba Pleasant Valley Manor Care Center

  • Skilled Nursing Facility
  • Liberty, MO
  • NPI 1295830776

  Juckette Management Services Inc

  CMS ownership
• Warrensburg Manor Inc

  dba Warrensburg Manor Care Center

  • Skilled Nursing Facility
  • Warrensburg, MO
  • NPI 1801991104

  Juckette Management Services Inc

  CMS ownership

Practitioners 2

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.

• Michael D Jones, MD

  • Obstetrics & Gynecology Physician
  • Mexico, MO
  • NPI 1972523991
  NPD (past)
• Terry L Thrasher, D.O.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1962492223
  NPD (past)

Affiliated clinicians 1

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

• Terry L Thrasher, D.O.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1962492223

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342396800000",
    "number": "1659476141",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "520 MANOR DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512429",
            "telephone_number": "573-642-6834",
            "fax_number": "573-642-5767"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "520 MANOR DR",
            "city": "FULTON",
            "state": "MO",
            "postal_code": "652512429",
            "telephone_number": "573-642-6834",
            "fax_number": "573-642-5767"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "FULTON MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-07-16",
        "status": "A",
        "authorized_official_last_name": "JUCKETTE",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
        "authorized_official_telephone_number": "660-646-5385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "015923",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "107871204",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Fulton Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Manfredo Florescruz
• Ashleigh Fox, LCSW
• Brittanie Frost, RN
• Amy N Fuemmeler, LPC
• Fulton Family Health Associates, P.C.
• Fulton Medical Center LLC
• Fulton Medical Center LLC
• Fulton Medical Center LLC
• Fulton Medical Center LLC (Fulton Medical Clinic)
• Fulton Medical Center LLC (Fulton Medical Clinic)

• Skilled Nursing Facility in Fulton, MO
• Providers in Fulton, 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 Jul 16, 2012; 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.

Verify at the official NPI Registry.