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BRISTOL MANOR OF WEBB CITY
NPI 1477769404
Assisted Living Facility in Webb City, MO

Active since May 15, 2007CLIA 26D0957545 · Waiver
1803 N MAIN ST, WEBB CITY, MO 64870(417) 673-4231(417) 673-4231 Get Directions Write a Review

NPPES record last updated: October 3, 2007. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Bristol Manor Of Webb City NPPES

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

BRISTOL MANOR OF WEBB CITY (NPI 1477769404) is a healthcare organization registered as an assisted living facility in Webb City, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through February 22, 2027 and lists Shelley D Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1477769404
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE, INC.
Location Address1803 N MAIN STWebb City, MO 64870-1193
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Phone(417) 673-4231
Fax(417) 673-4231
Organization SubpartNo
Authorized OfficialShelley D EbelingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 3, 2007
✔ NPI 1477769404 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.
1803 N MAIN ST, Webb City, MO 64870
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Other Names 1

Other NameBristol Manor Of Webb City

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 26D0957545

Bristol Manor Of Webb City · Webb City, MO
Active · expires Feb 22, 2027
CLIA Number26D0957545
Laboratory TypeAssisted Living Facility
Certificate Effective DateFebruary 23, 2025
Certificate Expiration DateFebruary 22, 2027
Laboratory DirectorRichelle Burrington
Laboratory Phone(417) 673-4231
Laboratory LocationBristol Manor Of Webb City1803 North Main, Hwy D, Webb City, MO 64870
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 1477769404. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Bristol Manor Of Webb City.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 1803 N Main St, Webb City, MO 64870. The listed phone number is (417) 673-4231.

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 26D0957545) is associated with this NPI, valid through February 22, 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 3, 2007. NPI Profile syncs with the weekly NPPES data releases published by CMS.