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ASHBURY HEIGHTS OF MONTGOMERY CITY
NPI 1174739031
Assisted Living Facility in Montgomery City, MO

Active since May 15, 2007CLIA 26D1055016 · Waiver
625 W 2ND ST, MONTGOMERY CITY, MO 63361(573) 564-3386(573) 564-3386 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Ashbury Heights Of Montgomery City NPPES

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

ASHBURY HEIGHTS OF MONTGOMERY CITY (NPI 1174739031) is a healthcare organization registered as an assisted living facility in Montgomery City, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through June 6, 2028 and lists Shelley D Ebelling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1174739031
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE, INC.
Location Address625 W 2ND STMontgomery City, MO 63361-1762
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Phone(573) 564-3386
Fax(573) 564-3386
Organization SubpartNo
Authorized OfficialShelley D EbellingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 2, 2007
✔ NPI 1174739031 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.
625 W 2ND ST, Montgomery City, MO 63361
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Other Names 1

Other NameAshbury Heights Of Montgomery City

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 26D1055016

Ashbury Heights Of Fayette · Fayette, MO
Active · expires Jun 6, 2028
CLIA Number26D1055016
Laboratory TypeAssisted Living Facility
Certificate Effective DateJune 7, 2026
Certificate Expiration DateJune 6, 2028
Laboratory DirectorMary Johnson
Laboratory Phone(660) 826-0200
Laboratory LocationAshbury Heights Of Fayette200 Groce Street, Fayette, MO 65248
CLIA data matches this NPI record on: 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 1174739031. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Ashbury Heights Of Montgomery City.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 625 W 2nd St, Montgomery City, MO 63361. The listed phone number is (573) 564-3386.

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 26D1055016) is associated with this NPI, valid through June 6, 2028. 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 2, 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.