Warrensburg Manor Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

016604 Issued in MO

Legal business name

WARRENSBURG MANOR INC

Doing business as

Warrensburg Manor Care Center

Practice address

400 Care Center Dr
Warrensburg, MO 64093-3100

Phone

(660) 747-2216

Fax

(660) 747-0807

NPI assigned

Sep 13, 2006

Last updated

Aug 28, 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

Owner

Phone

(660) 646-5385

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Warrensburg 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 1801991104. Details of each certification follow.

• CCN 265669 Skilled nursing facility · Active · Details

Skilled nursing facility certification: CCN 265669

Legal name

WARRENSBURG MANOR INC

Doing business as

WARRENSBURG MANOR CARE CENTER

Certification status

Active

Provider type (POS)

Nursing home – SNF/NF dual certification

Participating since

Mar 18, 1997

Last certification

Sep 19, 2024

Beds

88

Ownership / control type

Corporation

Multi-facility organization

JUCKETTE MANAGEMENT

Organization structure

CorporationProprietary

Enrollment address

400 Care Center Dr
Warrensburg, MO 64093-3100

Nursing home name

WARRENSBURG MANOR CARE CENTER

Affiliated entity

JUCKETTE FAMILY HOMES

Listed as

Warrensburg Manor Care CenterCCN 265669 · All quality measures

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 - Corporation

Certified

Mar 18, 1997

Medicare certification status

ActiveFrom the Provider of Services file

Certified beds

8845.6 residents per day on average

Chain

Juckette Family Homes6 facilities in the chain

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 1

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

• Steven Michael Cicero, D.O.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1407211873

  Adp of the SNF, Operational/Managerial Control

  CMS 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
• 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

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.

• Syed P Hasan, M.D.

  • Internal Medicine Physician
  • Warrensburg, MO
  • NPI 1861418121
  NPD (past)

Affiliated clinicians 2

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

• Steven Michael Cicero, D.O.

  • Family Medicine Physician
  • Columbia, MO
  • NPI 1407211873

  Nursing home

  Care Compare affiliation
• Sridhar Thirumalai, M.D.

  • Internal Medicine Physician
  • Warrensburg, MO
  • NPI 1376765057

  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": "1346112000000",
    "number": "1801991104",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 CARE CENTER DR",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933100",
            "telephone_number": "660-747-2216",
            "fax_number": "660-747-0807"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "400 CARE CENTER DR",
            "city": "WARRENSBURG",
            "state": "MO",
            "postal_code": "640933100",
            "telephone_number": "660-747-2216",
            "fax_number": "660-747-0807"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WARRENSBURG MANOR INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2012-08-28",
        "status": "A",
        "authorized_official_last_name": "JUCKETTE",
        "authorized_official_first_name": "HAL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "660-646-5385",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "016604",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108078700",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Warrensburg Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Steven D Warden, PT
• Kelly Maurine Warford
• Rachel K Warman, AU.D.
• Warrensburg 1 Inc
• Warrensburg Anesthesia & Pain Treatment, LLC
• Warrensburg Medical Clinic, LLC
• Warrensburg Optical Inc. (Insight Eyecare)
• Warrensburg Pediatric Dental LLC
• Warrensburg Physical Therapy LLC
• Warrensburg R-VI School District

• Skilled Nursing Facility in Warrensburg, MO
• Providers in Warrensburg, 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 Aug 28, 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.