EASTGATE MANOR
NPI 1518010131
Community Based Residential Treatment Facility, Mental Illness in Saint Joseph, MO

Q: What is Bliss Manor, Inc.'s NPI number?

The NPI number for Bliss Manor, Inc. is 1518010131. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Eastgate Manor.

Q: What is Bliss Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

Q: When was this NPI record last updated?

The NPPES record for Bliss Manor, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since January 18, 2007

2102 VILLAGE DR, SAINT JOSEPH, MO 64506(816) 233-2141(816) 233-2141 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Eastgate Manor NPPES

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

EASTGATE MANOR (NPI 1518010131) is a healthcare organization registered as a community based residential treatment facility, mental illness in Saint Joseph, Missouri and active in the NPI registry since January 2007. The organization lists Bradley Steven Wickham, Vice-president, as its authorized official.

NPPES Registry Identity

NPI1518010131

Entity TypeOrganization

Primary Taxonomy320800000X

Legal Business NameBLISS MANOR, INC.

Location Address2102 VILLAGE DRSaint Joseph, MO 64506-4983

Mailing AddressPo Box 7350Saint Joseph, MO 64507-7350 · (816) 279-0587 · Fax (816) 279-3461

Phone(816) 233-2141

Fax(816) 233-2141

Organization SubpartNo

Authorized OfficialBradley Steven WickhamVice-president · (816) 279-0587

Enumeration DateJanuary 18, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1518010131 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity Based Residential Treatment Facility, Mental IllnessResidential Treatment Facilities

Taxonomy Code320800000X

License✔ Licensed in MO · 031734

Definition

A home-like residential facility providing psychiatric treatment and psycho/social rehabilitative services to individuals diagnosed with mental illness.

2102 VILLAGE DR, Saint Joseph, MO 64506

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Other Names 1

Doing Business AsEastgate Manor

Other Providers at the Same Location NPPES

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

DENOVO RECOVERY, LLC

Substance Abuse Rehabilitation Facility

2102 VILLAGE DR
SAINT JOSEPH, MO 64506

Buchanan County (816) 244-8587

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 Bliss Manor, Inc.'s NPI number?

The NPI number for Bliss Manor, Inc. is 1518010131. It was assigned to this organization in the NPPES registry on January 18, 2007. The provider is doing business as Eastgate Manor.

Where is Bliss Manor, Inc. located?

Bliss Manor, Inc. is located at 2102 Village Dr, Saint Joseph, MO 64506. The listed phone number is (816) 233-2141.

What is Bliss Manor, Inc.'s specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Mental Illness with taxonomy code 320800000X.

When was this NPI record last updated?

The NPPES record for Bliss Manor, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.