BRISTOL MANOR OF PLEASANT HILL
NPI 1346456449
Assisted Living Facility in Pleasant Hill, MO

NPI Status: Active since May 15, 2007

Contact Information

2124 HIGHRIDGE DR
PLEASANT HILL, MO
ZIP 64080
Phone: (816) 987-2562
Fax: (816) 987-2562

Get Directions Write a Review

  • Organization
  • Assisted Living Facility
  • CLIA Number: 26D0970319
  • CLIA Cert. Type: Assisted Living Facility
  • CLIA Exp. Date: 02-09-2026

About BRISTOL MANOR OF PLEASANT HILL

This page provides the complete NPI Profile along with additional information for Bristol Manor Of Pleasant Hill, a provider established in Pleasant Hill, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1346456449 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Bristol Manor Of Pleasant Hill. The authorized official of this NPI record is Shelley D Ebeling (Medicaid Billing Department)

NPI
1346456449
Provider Legal Name
BRISTOL CARE, INC.
Other Organization Name
BRISTOL MANOR OF PLEASANT HILL
Other Name Type
Other Name (5)
Entity Type
Organization
Location Address
2124 HIGHRIDGE DR PLEASANT HILL, MO 64080
Location Phone
(816) 987-2562
Location Fax
(816) 987-2562
Mailing Address
201 W 3RD ST SEDALIA, MO 65301
Mailing Phone
(660) 826-0200
Mailing Fax
(816) 987-2562
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
05-15-2007
Last Update Date
10-03-2007
Code Navigator

Location Map

Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

Assisted Living Facility

Taxonomy Code
310400000X
Type
Nursing & Custodial Care Facilities
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

SHELLEY D EBELING

Authorized Official Title
MEDICAID BILLING DEPARTMENT
Authorized Official Phone
(660) 826-0200

CLIA Information

The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:

CLIA Number
26D0970319
Facility Type
Assisted Living Facility
Certificate Effective Date
February 10, 2024
Certificate Expiration Date
February 09, 2026
Laboratory Director
JESSICA BRANSTINE
Certificate Type
Certificate of Waiver
Certificate Type Description
This CLIA certificate is issued to Bristol Manor Of Pleasant Hill to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.

Reviews for BRISTOL MANOR OF PLEASANT HILL

There are currently no reviews for this provider. Be the first person to share your experience with this provider by filling out our review form. Your insights are appreciated and will help others make informed decisions.

NPI Validation Check Digit Calculation


The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.

Start with the original NPI number, the last digit is the check digit and is not used in the calculation.
1346456449
Step 1: Double the value of the alternate digits, beginning with the rightmost digit.
2386851248
Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24.
2 + 3 + 8 + 6 + 8 + 5 + 1 + 2 + 4 + 8 + 24 = 71
Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit.
80 - 71 = 99

The NPI number 1346456449 is valid because the calculated check digit 9 using the Luhn validation algorithm matches the last digit of the original NPI number.

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1346456449, enumerated as an "organization" on May 15, 2007.

The provider is located at 2124 HIGHRIDGE DR PLEASANT HILL, MO 64080 and the phone number is (816) 987-2562.

Assisted Living Facility with taxonomy code 310400000X.