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Bristol Care, Inc.

Organization Active NPI Assisted Living Facility · Mexico, MO

NPI 1659587384 · NPPES record last updated Oct 1, 2007

Key facts

NPI
1659587384
Entity type
Organization (NPI type 2)
Primary specialty
Assisted Living Facility 310400000X
Legal business name
BRISTOL CARE, INC.
Practice address
1109 W Old Farm Rd
Mexico, MO 65265-3250
Phone
(573) 581-5223
Fax
(573) 581-5223
NPI assigned
May 16, 2007
Organization subpart
No

Authorized official

Name
Shelley D Ebeling
Title
Medicaid Billing Department
Phone
(660) 826-0200

Corporate family (same tax ID) 24

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

Laboratory certificates & supplier records

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

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
26D1080169Essex of Mexico,the
1109 Old Farm Road West, Mexico, MO 65265		Certificate of waiverFeb 14, 2028

National Provider Directory

Tax ID family
Bristol Care Inc (62 organizations share this tax ID)

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Yes

Addresses

Primary practice location

1109 W Old Farm Rd
Mexico, MO 65265-3250

Mailing address

201 W 3Rd St
Sedalia, MO 65301-4352
Phone (660) 826-0200

Other names

  • The Essex of Mexico Other name

Other providers in Mexico, MO

All providers in Mexico, MO · Assisted Living Facility in Missouri

Sources for this page

Verify at the official NPI Registry.