BRISTOL MANOR OF CLINTON
NPI 1790991354
Assisted Living Facility in Clinton, MO

Q: What is Bristol Care, Inc.'s NPI number?

The NPI number for Bristol Care, Inc. is 1790991354. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Bristol Manor Of Clinton.

Q: What is Bristol Care, Inc.'s specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since May 14, 2007CLIA 26D0973985 · Waiver

1402 E FRANKLIN ST, CLINTON, MO 64735(660) 885-8391(660) 885-8391 Get Directions Write a Review

NPPES record last updated: October 2, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

On this page

About Bristol Manor Of Clinton NPPES

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

BRISTOL MANOR OF CLINTON (NPI 1790991354) is a healthcare organization registered as an assisted living facility in Clinton, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through May 23, 2028 and lists Shelley Deanne Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1790991354

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameBRISTOL CARE, INC.

Location Address1402 E FRANKLIN STClinton, MO 64735-1768

Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027

Phone(660) 885-8391

Fax(660) 885-8391

Organization SubpartNo

Authorized OfficialShelley Deanne EbelingMedicaid Billing Department · (660) 826-0200

Enumeration DateMay 14, 2007

Last NPPES UpdateOctober 2, 2007

✔ NPI 1790991354 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.

1402 E FRANKLIN ST, Clinton, MO 64735

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Other Names 1

Other NameBristol Manor Of Clinton

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 26D0973985

Bristol Manor Of Clinton · Clinton, MO

Active · expires May 23, 2028

CLIA Number26D0973985

Laboratory TypeAssisted Living Facility

Certificate Effective DateMay 24, 2026

Certificate Expiration DateMay 23, 2028

Laboratory DirectorKayanna Willard

Laboratory Phone(660) 885-8391

Laboratory LocationBristol Manor Of Clinton1402 E Franklin, Clinton, MO 64735

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 1790991354. It was assigned to this organization in the NPPES registry on May 14, 2007. The provider is also known as Bristol Manor Of Clinton.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 1402 E Franklin St, Clinton, MO 64735. The listed phone number is (660) 885-8391.

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 26D0973985) is associated with this NPI, valid through May 23, 2028. 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.