1. Home
  2. Directory
  3. Missouri
  4. Bethany
  5. Assisted Living Facility
  6. NPI Profile

BRISTOL MANOR OF BETHANY
NPI 1336354927
Assisted Living Facility in Bethany, MO

Active since May 14, 2007CLIA 26D0952186 · Waiver
811 S 24TH ST, BETHANY, MO 64424(660) 425-7133(660) 425-7133 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bristol Manor Of Bethany NPPES

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

BRISTOL MANOR OF BETHANY (NPI 1336354927) is a healthcare organization registered as an assisted living facility in Bethany, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through October 5, 2026 and lists Shelley Deanne Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1336354927
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE, INC.
Location Address811 S 24TH STBethany, MO 64424-2631
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Phone(660) 425-7133
Fax(660) 425-7133
Organization SubpartNo
Authorized OfficialShelley Deanne EbelingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 14, 2007
Last NPPES UpdateOctober 2, 2007
✔ NPI 1336354927 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.
811 S 24TH ST, Bethany, MO 64424
Open in Google Maps ↗

Other Names 1

Other NameBristol Manor Of Bethany

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 26D0952186

Bristol Manor Of Bethany · Bethany, MO
Active · expires Oct 5, 2026
CLIA Number26D0952186
Laboratory TypeAssisted Living Facility
Certificate Effective DateOctober 6, 2024
Certificate Expiration DateOctober 5, 2026
Laboratory DirectorTaylor Connor
Laboratory Phone(660) 425-7133
Laboratory LocationBristol Manor Of Bethany811 South 24th Street, Bethany, MO 64424
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 1336354927. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Bristol Manor Of Bethany.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 811 S 24th St, Bethany, MO 64424. The listed phone number is (660) 425-7133.

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 26D0952186) is associated with this NPI, valid through October 5, 2026. 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.