BRISTOL MANOR OF PALMYRA
NPI 1437365632
Assisted Living Facility in Palmyra, MO

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

The NPI number for Bristol Care, Inc. is 1437365632. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Bristol Manor Of Palmyra.

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 15, 2007CLIA 26D0914174 · Waiver

1815 S MAIN ST, PALMYRA, MO 63461(573) 769-2127(573) 769-2127 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Bristol Manor Of Palmyra NPPES

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

BRISTOL MANOR OF PALMYRA (NPI 1437365632) is a healthcare organization registered as an assisted living facility in Palmyra, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 21, 2028 and lists Shelley D Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1437365632

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBRISTOL CARE, INC.

Location Address1815 S MAIN STPalmyra, MO 63461-1961

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

Phone(573) 769-2127

Fax(573) 769-2127

Organization SubpartNo

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

Enumeration DateMay 15, 2007

Last NPPES UpdateOctober 3, 2007

✔ NPI 1437365632 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.

1815 S MAIN ST, Palmyra, MO 63461

Open in Google Maps ↗

Other Names 1

Other NameBristol Manor Of Palmyra

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 26D0914174

Bristol Manor Of Palmyra · Palmyra, MO

Active · expires Apr 21, 2028

CLIA Number26D0914174

Laboratory TypeAssisted Living Facility

Certificate Effective DateApril 22, 2026

Certificate Expiration DateApril 21, 2028

Laboratory DirectorBobbie Minter

Laboratory Phone(573) 769-2127

Laboratory LocationBristol Manor Of Palmyra1815 South Main, Palmyra, MO 63461

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 1437365632. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Bristol Manor Of Palmyra.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 1815 S Main St, Palmyra, MO 63461. The listed phone number is (573) 769-2127.

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 26D0914174) is associated with this NPI, valid through April 21, 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.