BRISTOL MANOR OF CARTHAGE
NPI 1417163056
Assisted Living Facility in Carthage, MO

Q: What is Bristol Care, Inc.'s NPI number?

The NPI number for Bristol Care, Inc. is 1417163056. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Bristol Manor Of Carthage.

Q: What is Bristol Care, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since May 14, 2007CLIA 26D0984641 · Waiver

2131 S RIVER ST, CARTHAGE, MO 64836(417) 358-9788(417) 358-9788 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Bristol Manor Of Carthage NPPES

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

BRISTOL MANOR OF CARTHAGE (NPI 1417163056) is a healthcare organization registered as an assisted living facility in Carthage, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through March 25, 2027 and lists Shelley Deanne Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1417163056

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBRISTOL CARE, INC.

Location Address2131 S RIVER STCarthage, MO 64836-3350

Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027

Phone(417) 358-9788

Fax(417) 358-9788

Organization SubpartNo

Authorized OfficialShelley Deanne EbelingMedicaid Billing Department · (660) 826-0200

Enumeration DateMay 14, 2007

Last NPPES UpdateOctober 2, 2007

✔ NPI 1417163056 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.

2131 S RIVER ST, Carthage, MO 64836

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Other Names 1

Other NameBristol Manor Of Carthage

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 26D0984641

Bristol Manor Of Carthage · Carthage, MO

Active · expires Mar 25, 2027

CLIA Number26D0984641

Laboratory TypeAssisted Living Facility

Certificate Effective DateMarch 26, 2025

Certificate Expiration DateMarch 25, 2027

Laboratory DirectorLaressa Dale

Laboratory Phone(417) 358-9788

Laboratory LocationBristol Manor Of Carthage2131 S River Avenue, Carthage, MO 64836

CLIA data matches this NPI record on: 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 1417163056. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Bristol Manor Of Carthage.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 2131 S River St, Carthage, MO 64836. The listed phone number is (417) 358-9788.

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 26D0984641) is associated with this NPI, valid through March 25, 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 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.