PACIFIC MANOR LLC
NPI 1265091755
Skilled Nursing Facility in Pacific, MO
About Pacific Manor Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
PACIFIC MANOR LLC (NPI 1265091755), doing business as Pacific Manor, is a healthcare organization registered as a skilled nursing facility in Pacific, Missouri and active in the NPI registry since June 2019. The organization lists Carla Hedrick, Cfo, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Other Names 1
Other Identifiers 1
Accepted Insurance
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 26D0437765
Pacific Manor LLC Dba Pacific Care Center · Pacific, MOOther Providers at the Same Location NPPES 4
Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.
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 Pacific Manor LLC's NPI number?
The NPI number for Pacific Manor LLC is 1265091755. It was assigned to this organization in the NPPES registry on June 10, 2019. The provider is doing business as Pacific Manor.
Where is Pacific Manor LLC located?
Pacific Manor LLC is located at 105 S 6th St, Pacific, MO 63069. The listed phone number is (636) 271-4222.
What is Pacific Manor LLC's specialty?
The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.
What insurance does Pacific Manor LLC accept?
Health plans from UnitedHealthcare list Pacific Manor LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Pacific Manor LLC was last updated on September 15, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.