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BRISTOL MANOR OF MARYVILLE
NPI 1285840520
Assisted Living Facility in Maryville, MO

Active since May 15, 2007CLIA 26D0944070 · Waiver
323 E SUMMIT DR, MARYVILLE, MO 64468(660) 582-4131(660) 582-4131 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bristol Manor Of Maryville NPPES

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

BRISTOL MANOR OF MARYVILLE (NPI 1285840520) is a healthcare organization registered as an assisted living facility in Maryville, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 6, 2028 and lists Shelley D Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1285840520
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE, INC.
Location Address323 E SUMMIT DRMaryville, MO 64468-3619
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Phone(660) 582-4131
Fax(660) 582-4131
Organization SubpartNo
Authorized OfficialShelley D EbelingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 3, 2007
✔ NPI 1285840520 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.
323 E SUMMIT DR, Maryville, MO 64468
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Other Names 1

Other NameBristol Manor Of Maryville

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 26D0944070

Bristol Manor Of Maryville · Maryville, MO
Active · expires Apr 6, 2028
CLIA Number26D0944070
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 7, 2026
Certificate Expiration DateApril 6, 2028
Laboratory DirectorLori Clements
Laboratory Phone(660) 582-4131
Laboratory LocationBristol Manor Of Maryville323 East Summit Drive, Maryville, MO 64468
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 1285840520. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Bristol Manor Of Maryville.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 323 E Summit Dr, Maryville, MO 64468. The listed phone number is (660) 582-4131.

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 26D0944070) is associated with this NPI, valid through April 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 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.