1. Home
  2. Directory
  3. Missouri
  4. Raymore
  5. Assisted Living Facility
  6. NPI Profile

BRISTOL MANOR OF RAYMORE
NPI 1114133287
Assisted Living Facility in Raymore, MO

Active since May 15, 2007CLIA 26D1048249 · Waiver
604 E SUNRISE DR, RAYMORE, MO 64083(816) 322-6782(816) 322-6782 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bristol Manor Of Raymore NPPES

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

BRISTOL MANOR OF RAYMORE (NPI 1114133287) is a healthcare organization registered as an assisted living facility in Raymore, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through November 27, 2027 and lists Shelley D Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1114133287
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE, INC.
Location Address604 E SUNRISE DRRaymore, MO 64083-9037
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Phone(816) 322-6782
Fax(816) 322-6782
Organization SubpartNo
Authorized OfficialShelley D EbelingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 3, 2007
✔ NPI 1114133287 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.
604 E SUNRISE DR, Raymore, MO 64083
Open in Google Maps ↗

Other Names 1

Other NameBristol Manor Of Raymore

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 26D1048249

Bristol Manor Of Raymore · Raymore, MO
Active · expires Nov 27, 2027
CLIA Number26D1048249
Laboratory TypeAssisted Living Facility
Certificate Effective DateNovember 28, 2025
Certificate Expiration DateNovember 27, 2027
Laboratory DirectorMaria Vaughn
Laboratory Phone(816) 322-6782
Laboratory LocationBristol Manor Of Raymore604 Sunrise Drive, Raymore, MO 64083
CLIA data matches this NPI record on: Name 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 1114133287. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Bristol Manor Of Raymore.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 604 E Sunrise Dr, Raymore, MO 64083. The listed phone number is (816) 322-6782.

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 a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D1048249) is associated with this NPI, valid through November 27, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Bristol Care, Inc. was last updated on October 3, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.