COMMUNITY MANOR, LLC
NPI 1134212822
Assisted Living Facility in Farmington, MO

Active since October 02, 2006CLIA 26D0441792 · Waiver
783 WEBER RD, FARMINGTON, MO 63640(573) 756-8998(573) 756-8980 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Community Manor, Llc NPPES

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

COMMUNITY MANOR, LLC (NPI 1134212822) is a healthcare organization registered as an assisted living facility in Farmington, Missouri and active in the NPI registry since October 2006. The organization holds a CLIA Waiver certificate valid through August 31, 2026 and lists Sharo Shirshekan, Ceo/managing Member, as its authorized official.

NPPES Registry Identity

NPI1134212822
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCOMMUNITY MANOR, LLC
Location Address783 WEBER RDFarmington, MO 63640
Mailing Address765 Weber RdFarmington, MO 63640 · (573) 701-0600 · Fax (573) 701-0601
Fax(573) 756-8980
Organization SubpartNo
Authorized OfficialSharo ShirshekanCeo/managing Member · (573) 701-0600
Enumeration DateOctober 2, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1134212822 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License Licensed in MO · 031313
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.
783 WEBER RD, Farmington, MO 63640

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 26D0441792

Community Manor · Farmington, MO
Active · expires Aug 31, 2026
CLIA Number26D0441792
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateSeptember 1, 2024
Certificate Expiration DateAugust 31, 2026
Laboratory DirectorLaura Mace
Laboratory Phone(573) 756-8998
Laboratory LocationCommunity Manor783 Weber Road, Farmington, MO 63640
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Nurse Practitioner (Psychiatric/Mental Health)
783 WEBER RD
FARMINGTON, MO 63640
Occupational Therapist
783 WEBER RD
FARMINGTON, MO 63640
Skilled Nursing Facility
783 WEBER RD
FARMINGTON, MO 63640
Physical Therapy Assistant
783 WEBER RD
FARMINGTON, MO 63640

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 Community Manor, LLC's NPI number?

The NPI number for Community Manor, LLC is 1134212822. It was assigned to this organization in the NPPES registry on October 2, 2006.

Where is Community Manor, LLC located?

Community Manor, LLC is located at 783 Weber Rd, Farmington, MO 63640. The listed phone number is (573) 756-8998.

What is Community Manor, LLC's specialty?

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

Does Community Manor, LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0441792) is associated with this NPI, valid through August 31, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Community Manor, LLC was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.