BRISTOL MANOR OF ELDON
NPI 1497961064
Assisted Living Facility in Eldon, MO
- Organization
- Assisted Living Facility
- CLIA Number: 26D1082924
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 04-21-2028
About BRISTOL MANOR OF ELDON
This page provides the complete NPI Profile along with additional information for Bristol Manor Of Eldon, a provider established in Eldon, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1497961064 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 19 years ago. The provider's other name is Bristol Manor Of Eldon. The authorized official of this NPI record is Shelley Deanne Ebeling (Medcaid Billing Department)
- NPI
- 1497961064 Verify this NPI
- Provider Legal Name
- BRISTOL CARE, INC.
- Other Organization Name
- BRISTOL MANOR OF ELDON
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 1201 E NORTH ST ELDON, MO 65026
- Location Phone
- (573) 392-1200
- Location Fax
- (573) 392-1200
- Mailing Address
- 201 W 3RD ST SEDALIA, MO 65301
- Mailing Phone
- (660) 826-0200
- Mailing Fax
- (660) 827-2027
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2007
- Last Update Date
- 10-02-2007
- 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.
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
- 26D1082924
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- April 22, 2026
- Certificate Expiration Date
- April 21, 2028
- Laboratory Director
- JOHN WOODRUFF
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bristol Manor Of Eldon 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.
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Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1497961064, enumerated as an "organization" on May 14, 2007.
The provider is located at 1201 E NORTH ST ELDON, MO 65026 and the phone number is (573) 392-1200.
Assisted Living Facility with taxonomy code 310400000X.
