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BRISTOL MANOR OF BUFFALO
NPI 1053526665
Assisted Living Facility in Buffalo, MO

Active since May 14, 2007CLIA Certified · 2 labs
1002 BIRCH ST, BUFFALO, MO 65622(417) 345-5500(417) 345-5500 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bristol Manor Of Buffalo NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

BRISTOL MANOR OF BUFFALO (NPI 1053526665) is a healthcare organization registered as an assisted living facility in Buffalo, Missouri and active in the NPI registry since May 2007. The organization holds 2 active CLIA laboratory certificates and lists Shelley Deanne Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1053526665
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE,INC.
Location Address1002 BIRCH STBuffalo, MO 65622-9455
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Phone(417) 345-5500
Fax(417) 345-5500
Organization SubpartNo
Authorized OfficialShelley Deanne EbelingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 14, 2007
Last NPPES UpdateOctober 2, 2007
✔ NPI 1053526665 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
1002 BIRCH ST, Buffalo, MO 65622
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Other Names 1

Other NameBristol Manor Of Buffalo

CLIA Laboratory Certificates CMS CLIA 2

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 26D0972136

Bristol Manor Of Buffalo · Buffalo, MO
Active · expires Mar 29, 2028
CLIA Number26D0972136
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 30, 2026
Certificate Expiration DateMarch 29, 2028
Laboratory DirectorLandon Winberry
Laboratory Phone(417) 345-5500
Laboratory LocationBristol Manor Of Buffalo1002 S Birch, Buffalo, MO 65622
CLIA data matches this NPI record on: Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Certificate of Waiver 26D1018037

Bristol Manor Of Salisbury · Salisbury, MO
Active · expires Oct 9, 2027
CLIA Number26D1018037
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 10, 2025
Certificate Expiration DateOctober 9, 2027
Laboratory DirectorBarbara Utterback
Laboratory Phone(660) 826-0200
Laboratory LocationBristol Manor Of Salisbury102 N Willie St, Salisbury, MO 65281
CLIA data matches this NPI record on: Phone
This certificate is issued to a laboratory to perform only waived tests.

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 Bristol Care,inc.'s NPI number?

The NPI number for Bristol Care,inc. is 1053526665. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Bristol Manor Of Buffalo.

Where is Bristol Care,inc. located?

Bristol Care,inc. is located at 1002 Birch St, Buffalo, MO 65622. The listed phone number is (417) 345-5500.

What is Bristol Care,inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Does Bristol Care,inc. hold CLIA laboratory certificates?

Yes. 2 active CLIA laboratory certificates are associated with this NPI under the federal Clinical Laboratory Improvement Amendments program. The certificates are listed in the CLIA Laboratory Certificates section above.

When was this NPI record last updated?

The NPPES record for Bristol Care,inc. was last updated on October 2, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.