POTOSI MANOR, INC.
NPI 1053307322
Skilled Nursing Facility in Potosi, MO
About Potosi Manor, Inc. NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
POTOSI MANOR, INC. (NPI 1053307322), doing business as Potosi Manor, is a healthcare organization registered as a skilled nursing facility in Potosi, Missouri and active in the NPI registry since September 2005. The organization holds a CLIA Waiver certificate valid through August 13, 2027 and lists Carla Hedrick, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 2
Accepted Insurance
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 26D0932181
Potosi Manor · Potosi, MONursing Home Quality Ratings CMS Care Compare
Quality ratings, staffing and inspection history for Potosi Manor (CMS certification number 265681), from CMS Care Compare.
Potosi Manor
Nursing home · Potosi, MOCMS Star Ratings
Staffing & Turnover
Inspections & Enforcement
Frequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Potosi Manor, Inc.'s NPI number?
The NPI number for Potosi Manor, Inc. is 1053307322. It was assigned to this organization in the NPPES registry on September 22, 2005. The provider is doing business as Potosi Manor.
Where is Potosi Manor, Inc. located?
Potosi Manor, Inc. is located at 307 South Highway 21, Potosi, MO 63664. The listed phone number is (573) 438-3225.
What is Potosi Manor, Inc.'s specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
Does Potosi Manor, Inc. hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 26D0932181) is associated with this NPI, valid through August 13, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
Is Potosi Manor, Inc. a Medicare-certified nursing home?
Yes. Potosi Manor is a Medicare-certified nursing home with 90 certified beds.
What quality rating does Potosi Manor, Inc. have?
CMS rates Potosi Manor 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.
What insurance does Potosi Manor, Inc. accept?
Health plans from UnitedHealthcare list Potosi Manor, Inc. as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Potosi Manor, Inc. was last updated on October 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.