OAK RIDGE MANOR, INC
NPI 1083743629
Assisted Living Facility - Assisted Living, Mental Illness in Oak Ridge, MO

Q: What is Oak Ridge Manor, Inc's NPI number?

The NPI number for Oak Ridge Manor, Inc is 1083743629. It was assigned to this organization in the NPPES registry on March 2, 2007.

Q: What is Oak Ridge Manor, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

Active since March 02, 2007

5108 STATE HIGHWAY B, OAK RIDGE, MO 63769(573) 266-0206(573) 334-8145 Get Directions Write a Review

NPPES record last updated: September 11, 2025. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Sep 11, 2025, Aug 22, 2020 (2 updates tracked since 2020).

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About Oak Ridge Manor, Inc NPPES

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

OAK RIDGE MANOR, INC (NPI 1083743629) is a healthcare organization registered as an assisted living, mental illness in Oak Ridge, Missouri and active in the NPI registry since March 2007. The organization lists Tomi Sample, President, as its authorized official.

NPPES Registry Identity

NPI1083743629

Entity TypeOrganization

Primary Taxonomy3104A0625X

Legal Business NameOAK RIDGE MANOR, INC

Location Address5108 STATE HIGHWAY BOak Ridge, MO 63769

Mailing Address210 Franks LnCape Girardeau, MO 63701-8439 · (573) 334-7679 · Fax (573) 334-8145

Phone(573) 266-0206

Fax(573) 334-8145

Organization SubpartNo

Authorized OfficialTomi SamplePresident · (573) 334-7679

Enumeration DateMarch 2, 2007

Last NPPES UpdateSeptember 11, 20252 updates tracked since enumeration

✔ NPI 1083743629 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities

Taxonomy Code3104A0625X

License✔ Licensed in MO · 033528

Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedAssisted Living FacilityTaxonomy 310400000X · License 033528 (MO)

5108 STATE HIGHWAY B, Oak Ridge, MO 63769

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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 Oak Ridge Manor, Inc's NPI number?

The NPI number for Oak Ridge Manor, Inc is 1083743629. It was assigned to this organization in the NPPES registry on March 2, 2007.

Where is Oak Ridge Manor, Inc located?

Oak Ridge Manor, Inc is located at 5108 State Highway B, Oak Ridge, MO 63769. The listed phone number is (573) 266-0206.

What is Oak Ridge Manor, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Oak Ridge Manor, Inc was last updated on September 11, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 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.