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BRISTOL MANOR OF MAYSVILLE
NPI 1164638409
Assisted Living Facility in Maysville, MO

Active since May 15, 2007
604 S POLK ST, MAYSVILLE, MO 64469(816) 449-2741(816) 449-2741 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Bristol Manor Of Maysville NPPES

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

BRISTOL MANOR OF MAYSVILLE (NPI 1164638409) is a healthcare organization registered as an assisted living facility in Maysville, Missouri and active in the NPI registry since May 2007. The organization lists Shelley D Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1164638409
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE, INC.
Location Address604 S POLK STMaysville, MO 64469-4033
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Phone(816) 449-2741
Fax(816) 449-2741
Organization SubpartNo
Authorized OfficialShelley D EbelingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 3, 2007
✔ NPI 1164638409 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 S POLK ST, Maysville, MO 64469
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Other Names 1

Other NameBristol Manor Of Maysville

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 26D0949758

Bristol Manor Of Maysville · Maysville, MO
Expired · Aug 9, 2026
CLIA Number26D0949758
Laboratory TypeOther
Certificate Effective DateAugust 10, 2024
Certificate Expiration DateAugust 9, 2026
Laboratory DirectorJustin Brown
Laboratory Phone(816) 449-2741
Laboratory LocationBristol Manor Of Maysville604 South Polk, Maysville, MO 64469
CLIA data matches this NPI record on: Address 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 1164638409. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Bristol Manor Of Maysville.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 604 S Polk St, Maysville, MO 64469. The listed phone number is (816) 449-2741.

What is Bristol Care, Inc.'s specialty?

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

When was this NPI record last updated?

The NPPES record for Bristol Care, Inc. was last updated on October 3, 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.