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PINE VIEW MANOR, INC.
NPI 1386992584
Clinic/Center in Stanberry, MO

Active since August 17, 2012CLIA 26D0902481 · Waiver
307 N PINEVIEW ST, STANBERRY, MO 64489(660) 783-2118(660) 783-2691 Get Directions Write a Review

NPPES record last updated: August 17, 2012. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Pine View Manor, Inc. NPPES

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

PINE VIEW MANOR, INC. (NPI 1386992584) is a healthcare organization registered as a clinic/center in Stanberry, Missouri and active in the NPI registry since August 2012. The organization holds a CLIA Waiver certificate valid through June 20, 2027 and lists Jerry B Doerhoff, Administrator, as its authorized official.

NPPES Registry Identity

NPI1386992584
Entity TypeOrganization
Primary Taxonomy261Q00000X
Legal Business NamePINE VIEW MANOR, INC.
Location Address307 N PINEVIEW STStanberry, MO 64489-1509
Mailing Address307 N Pineview StStanberry, MO 64489-1509 · (660) 783-2118 · Fax (660) 783-2691
Phone(660) 783-2118
Fax(660) 783-2691
Organization SubpartNo
Authorized OfficialJerry B DoerhoffAdministrator · (660) 783-2118
Enumeration DateAugust 17, 2012
✔ NPI 1386992584 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyClinic/CenterAmbulatory Health Care Facilities
Taxonomy Code261Q00000X
License✔ Licensed in MO · 031426
Definition
A facility or distinct part of one used for the diagnosis and treatment of outpatients. Clinic/Center is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health).
307 N PINEVIEW ST, Stanberry, MO 64489
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Other Identifiers 2

Medicare UPIN265506MO
Medicaid101493302MO

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 26D0902481

Pine View Manor Inc · Stanberry, MO
Active · expires Jun 20, 2027
CLIA Number26D0902481
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJune 21, 2025
Certificate Expiration DateJune 20, 2027
Laboratory DirectorAngela D. Martin
Laboratory Phone(660) 783-2118
Laboratory LocationPine View Manor Inc307 N Pineview Street, Stanberry, MO 64489
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MRS. DIANE ALICE WILSON RPT
Mechanotherapist
307 N PINEVIEW ST
STANBERRY, MO 64489
Gentry County (660) 783-2118

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 Pine View Manor, Inc.'s NPI number?

The NPI number for Pine View Manor, Inc. is 1386992584. It was assigned to this organization in the NPPES registry on August 17, 2012.

Where is Pine View Manor, Inc. located?

Pine View Manor, Inc. is located at 307 N Pineview St, Stanberry, MO 64489. The listed phone number is (660) 783-2118.

What is Pine View Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center with taxonomy code 261Q00000X.

Does Pine View Manor, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0902481) is associated with this NPI, valid through June 20, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Pine View Manor, Inc. was last updated on August 17, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.