1. Home
  2. Directory
  3. Missouri
  4. Willard
  5. Assisted Living Facility
  6. NPI Profile

BRISTOL MANOR OF WILLARD
NPI 1649486697
Assisted Living Facility in Willard, MO

Active since May 15, 2007CLIA 26D0962942 · Waiver
511 WATSON ST, WILLARD, MO 65781(417) 742-0090(417) 742-0090 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 Willard NPPES

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

BRISTOL MANOR OF WILLARD (NPI 1649486697) is a healthcare organization registered as an assisted living facility in Willard, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through July 15, 2027 and lists Shelley D Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1649486697
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE, INC.
Location Address511 WATSON STWillard, MO 65781-8314
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Phone(417) 742-0090
Fax(417) 742-0090
Organization SubpartNo
Authorized OfficialShelley D EbelingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 3, 2007
✔ NPI 1649486697 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.

511 WATSON ST, Willard, MO 65781
Open in Google Maps ↗

Other Names 1

Other NameBristol Manor Of Willard

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 26D0962942

Bristol Manor Of Willard · Willard, MO
Active · expires Jul 15, 2027
CLIA Number26D0962942
Laboratory TypeAssisted Living Facility
Certificate Effective DateJuly 16, 2025
Certificate Expiration DateJuly 15, 2027
Laboratory DirectorTina Thomas
Laboratory Phone(417) 742-0090
Laboratory LocationBristol Manor Of Willard511 Watson, Willard, MO 65781
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 1649486697. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Bristol Manor Of Willard.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 511 Watson St, Willard, MO 65781. The listed phone number is (417) 742-0090.

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 26D0962942) is associated with this NPI, valid through July 15, 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.