Columbia Manor Health & Rehabilitation LLC

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

Legal business name

COLUMBIA MANOR HEALTH & REHABILITATION LLC

Practice address

2012 E Nifong Blvd
Columbia, MO 65201-3874

Phone

(573) 449-1246

Fax

(573) 874-8753

NPI assigned

Jul 5, 2023

Organization subpart

No

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

Authorized official

Name

Chaim Mandelbaum

Title

Manager

Phone

(573) 449-1246

Specialties & licenses 1

Addresses

Medicare fee-for-service enrollment

Enrolled in MO

Enrollment records 1

Skilled nursing facility certification: CCN 265778

Legal name

COLUMBIA MANOR HEALTH & REHABILITATION LLC

Doing business as

COLUMBIA MANOR HEALTH & REHABILITATION

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

May 1, 2004

Last certification

May 31, 2024

Beds

52

Ownership / control type

Limited Liability Corporation

Organization structure

LLCProprietary

Enrollment address

2012 E Nifong Blvd
Columbia, MO 65201-3874

Nursing home name

COLUMBIA MANOR HEALTH & REHABILITATION

Affiliated entity

MO OP HOLDCO, LLC

Listed as

Columbia Manor Health & RehabilitationCCN 265778

Overall star rating

2 of 5

Health inspections

3 of 5

Staffing

1 of 5

Quality measures

2 of 5

Type

Medicare and Medicaid

Ownership

For profit - Limited Liability company

Certified

May 1, 2004

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

5242.5 residents per day on average

Chain

Mo Op Holdco, LLC9 facilities in the chain

Processed by Care Compare on Aug 1, 2026.

All disclosed owners & managing parties 34

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 1

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

• Eric A. Barnes, D.O.

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1619952520

  Adp of the SNF, Operational/Managerial Control

  CMS ownership

Practitioners 3

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

• Beth Ann Sjoblom, MD

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1558371781
  NPD (past)
• Charles Sutherland, DO

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1619945300
  NPD (past)
• Catherine M Vanvoorn, M.D.

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1720054448
  NPD (past)

Affiliated clinicians 2

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

• Beth Ann Sjoblom, MD

  • Internal Medicine Physician
  • Columbia, MO
  • NPI 1558371781

  Nursing home

  Care Compare affiliation
• Lenora Ann Levin

  • Clinical Social Worker
  • Herrin, IL
  • NPI 1093227613

  Nursing home

  Care Compare affiliation

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

{
    "created_epoch": "1688515200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1690329600000",
    "number": "1700564333",
    "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"
        },
        {
            "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 HEALTH & REHABILITATION LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-07-05",
        "last_updated": "2023-07-26",
        "certification_date": "2023-07-26",
        "status": "A",
        "authorized_official_last_name": "MANDELBAUM",
        "authorized_official_first_name": "CHAIM",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "573-449-1246"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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

• All providers in Columbia, MO
• Skilled Nursing Facility in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2023; 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.