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BRISTOL MANOR OF CENTRALIA
NPI 1689880239
Assisted Living Facility in Centralia, MO

Active since May 14, 2007CLIA 26D0982149 · Waiver
610 N JEFFERSON ST, CENTRALIA, MO 65240(573) 682-5913(573) 682-5913 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Bristol Manor Of Centralia NPPES

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

BRISTOL MANOR OF CENTRALIA (NPI 1689880239) is a healthcare organization registered as an assisted living facility in Centralia, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through January 16, 2027 and lists Shelley Deanne Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1689880239
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE, INC.
Location Address610 N JEFFERSON STCentralia, MO 65240-1178
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Phone(573) 682-5913
Fax(573) 682-5913
Organization SubpartNo
Authorized OfficialShelley Deanne EbelingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 14, 2007
Last NPPES UpdateOctober 2, 2007
✔ NPI 1689880239 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.
610 N JEFFERSON ST, Centralia, MO 65240
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Other Names 1

Other NameBristol Manor Of Centralia

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 26D0982149

Bristol Manor Of Centralia · Centralia, MO
Active · expires Jan 16, 2027
CLIA Number26D0982149
Laboratory TypeAssisted Living Facility
Certificate Effective DateJanuary 17, 2025
Certificate Expiration DateJanuary 16, 2027
Laboratory DirectorKelli Elliot
Laboratory Phone(573) 682-5913
Laboratory LocationBristol Manor Of Centralia610 N Jefferson, Centralia, MO 65240
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 1689880239. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Bristol Manor Of Centralia.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 610 N Jefferson St, Centralia, MO 65240. The listed phone number is (573) 682-5913.

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 26D0982149) is associated with this NPI, valid through January 16, 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 2, 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.