Livingston Manor Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

017795 Issued in MO

Legal business name

LIVINGSTON MANOR INC

Doing business as

Livingston Manor Care Center

Practice address

939 E Birch Dr
Chillicothe, MO 64601-2189

Phone

(660) 646-5177

Fax

(660) 646-5186

NPI assigned

Sep 13, 2006

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

Owner

Phone

(660) 646-5177

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Livingston 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 1740385228. Details of each certification follow.

• CCN 265621 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265621

Legal name

LIVINGSTON MANOR INC

Doing business as

LIVINGSTON MANOR CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Jul 1, 1995

Last certification

May 30, 2024

Beds

94

Ownership / control type

Corporation

Organization structure

CorporationProprietary

Enrollment address

939 E Birch Dr
Chillicothe, MO 64601-2189

Nursing home name

LIVINGSTON MANOR CARE CENTER

Affiliated entity

JUCKETTE FAMILY HOMES

Listed as

Livingston Manor Care CenterCCN 265621 · All quality measures

Overall star rating

1 of 5

Health inspections

1 of 5

Staffing

4 of 5

Quality measures

1 of 5

Type

Medicare and Medicaid

Ownership

For profit - Corporation

Certified

Jul 1, 1995

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

9426.2 residents per day on average

Chain

Juckette Family Homes6 facilities in the chain

Abuse citation

Cited for abuse (Care Compare abuse icon)

Penalties (3 years)

2Fines totaling $168,230

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.

Facilities with the same owner 5

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

• Fulton Manor Inc

  dba Fulton Manor Care Center

  • Skilled Nursing Facility
  • Fulton, MO
  • NPI 1659476141

  Juckette Management Services Inc

  CMS ownership
• 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

  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 1

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.

• Gregory W Sensenich, DO

  • Family Medicine Physician
  • Chillicothe, MO
  • NPI 1669441531
  NPD (past)

Affiliated clinicians 2

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

• Matthew Hendrix, MD

  • Family Medicine Physician
  • Kansas City, MO
  • NPI 1801325501

  Nursing home

  Care Compare affiliation
• Gregory W Sensenich, DO

  • Family Medicine Physician
  • Chillicothe, MO
  • NPI 1669441531

  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": "1341446400000",
    "number": "1740385228",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "939 E BIRCH DR",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012189",
            "telephone_number": "660-646-5177",
            "fax_number": "660-646-5186"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "939 E BIRCH DR",
            "city": "CHILLICOTHE",
            "state": "MO",
            "postal_code": "646012189",
            "telephone_number": "660-646-5177",
            "fax_number": "660-646-5186"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGSTON MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-07-05",
        "status": "A",
        "authorized_official_last_name": "JUCKETTE",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-646-5177",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "017795",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102201902",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingston Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Livingston County Development Center
• Livingston County New Horizons
• Livingston County New Horizons
• Livingston County Nursing Home District (Morningside Center)
• Livingston County Public Health Center
• Michaelle Lowery, LPC
• Randell Dee Lowrey, DDS
• Narayanan K Mangalat, M.D.
• Amber Marshall, FNP
• Tony Marvin, RPH

• Skilled Nursing Facility in Chillicothe, MO
• Providers in Chillicothe, 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 5, 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.