VICTORIAN MANOR MEMORY CARE COMMUNITY
NPI 1134436439
Assisted Living Facility in Cuba, MO

Q: What is Victorian Manor Of Cuba-Memory Care, Inc's specialty?

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

Active since September 08, 2010CLIA 26D2053543 · Waiver

903 HWY DD, CUBA, MO 65453(573) 885-0379(573) 885-0439 Get Directions Write a Review

NPPES record last updated: September 8, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

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About Victorian Manor Memory Care Community NPPES

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

VICTORIAN MANOR MEMORY CARE COMMUNITY (NPI 1134436439) is a healthcare organization registered as an assisted living facility in Cuba, Missouri and active in the NPI registry since September 2010. The organization holds a CLIA Waiver certificate valid through January 31, 2027 and lists Nancy Quick, Secretary, as its authorized official.

NPPES Registry Identity

NPI1134436439

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameVICTORIAN MANOR OF CUBA-MEMORY CARE, INC

Location Address903 HWY DDCuba, MO 65453-0903

Mailing Address1015 Springfield RdOwensville, MO 65066-2354 · (573) 437-2103 · Fax (573) 437-2219

Phone(573) 885-0379

Fax(573) 885-0439

Organization SubpartNo

Authorized OfficialNancy QuickSecretary · (573) 437-2103

Enumeration DateSeptember 8, 2010

✔ NPI 1134436439 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.

903 HWY DD, Cuba, MO 65453

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Other Names 1

Doing Business AsVictorian Manor Memory Care Community

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 26D2053543

Victorian Place Of Cuba Arbors · Cuba, MO

Active · expires Jan 31, 2027

CLIA Number26D2053543

Laboratory TypeAssisted Living Facility

Certificate Effective DateFebruary 1, 2025

Certificate Expiration DateJanuary 31, 2027

Laboratory DirectorChristine Young

Laboratory Phone(573) 885-0379

Laboratory LocationVictorian Place Of Cuba Arbors903 Hwy Dd, Cuba, MO 65453

CLIA data matches this NPI record on: Address 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 Victorian Manor Of Cuba-Memory Care, Inc's NPI number?

The NPI number for Victorian Manor Of Cuba-Memory Care, Inc is 1134436439. It was assigned to this organization in the NPPES registry on September 8, 2010. The provider is doing business as Victorian Manor Memory Care Community.

Where is Victorian Manor Of Cuba-Memory Care, Inc located?

Victorian Manor Of Cuba-Memory Care, Inc is located at 903 Hwy Dd, Cuba, MO 65453. The listed phone number is (573) 885-0379.

What is Victorian Manor Of Cuba-Memory Care, Inc's specialty?

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

Does Victorian Manor Of Cuba-Memory Care, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2053543) is associated with this NPI, valid through January 31, 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 Victorian Manor Of Cuba-Memory Care, Inc was last updated on September 8, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.