Ashley Manor, Inc.

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

017160 Issued in MO

Legal business name

ASHLEY MANOR, INC.

Doing business as

Ashley Manor Care Center

Practice address

1630 Radio Hill Rd
Boonville, MO 65233-1957

Phone

(660) 882-6584

Fax

(660) 882-2267

NPI assigned

Sep 13, 2006

Last updated

Nov 23, 2016By 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

Benjamin C. Scheulen

Title

Ceo

Phone

(573) 556-6240

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Ashley Manor Care Center Doing business as

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

CLIA laboratory certificates

Locations

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

{
    "created_epoch": "1158105600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1479859200000",
    "number": "1982709457",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1630 RADIO HILL RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331957",
            "telephone_number": "660-882-6584",
            "fax_number": "660-882-2267"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1630 RADIO HILL RD",
            "city": "BOONVILLE",
            "state": "MO",
            "postal_code": "652331957",
            "telephone_number": "660-882-6584",
            "fax_number": "660-882-2267"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ASHLEY MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-09-13",
        "last_updated": "2016-11-23",
        "status": "A",
        "authorized_official_last_name": "SCHEULEN",
        "authorized_official_first_name": "BENJAMIN",
        "authorized_official_middle_name": "C.",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "573-556-6240"
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "MO",
            "license": "017160",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "102188604",
            "state": "MO"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Ashley Manor Care Center",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Nancy Marie Aldrich, MSRDLD
• Shelby A Angel, MED, LPC
• Peggy Moser Armentrout, PHARMACIST
• Kellie Marie Asher, DPT
• Ashley Manor Health & Rehabilitation LLC
• Elizabeth Anne Atkinson, LPC
• Axis Chiropractic LLC
• Patrick C Beglau, LPC
• Jeff Birdsong, O.D.
• Brad Lee Boerio, R.PH.

• Skilled Nursing Facility in Boonville, MO
• Providers in Boonville, 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 Nov 23, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• 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.