BRISTOL MANOR OF UNIONVILLE
NPI 1639385636
Assisted Living Facility in Unionville, MO

Active since May 15, 2007CLIA 26D0962979 · Waiver
715 N 22ND ST, UNIONVILLE, MO 63565(660) 947-2151(660) 947-2151 Get Directions Write a Review

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

About Bristol Manor Of Unionville NPPES

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

BRISTOL MANOR OF UNIONVILLE (NPI 1639385636) is a healthcare organization registered as an assisted living facility in Unionville, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Shelley D Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1639385636
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE, INC.
Location Address715 N 22ND STUnionville, MO 63565-1142
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Fax(660) 947-2151
Organization SubpartNo
Authorized OfficialShelley D EbelingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 3, 2007
NPI 1639385636 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.
715 N 22ND ST, Unionville, MO 63565

Other Names 1

Other NameBristol Manor Of Unionville

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 26D0962979

Bristol Manor Of Unionville · Unionville, MO
Active · expires Jul 18, 2027
CLIA Number26D0962979
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorGordon Keith Leach
Laboratory Phone(660) 947-2151
Laboratory LocationBristol Manor Of Unionville715 N 22nd Street, Unionville, MO 63565
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 1639385636. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Bristol Manor Of Unionville.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 715 N 22nd St, Unionville, MO 63565. The listed phone number is (660) 947-2151.

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 26D0962979) is associated with this NPI, valid through July 18, 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 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.