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ASHLEY MANOR HEALTH & REHABILITATION LLC
NPI 1811675440
Skilled Nursing Facility in Boonville, MO

Active since July 05, 2023CLIA 26D0446425 · Waiver
2/5
Overall Rating
1630 RADIO HILL RD, BOONVILLE, MO 65233(660) 882-6584(660) 882-2267 Get Directions Write a Review

NPPES record last updated: July 26, 2023. Verified against the NPPES registry weekly; last sync: July 26, 2026.

Record update history: Jul 26, 2023, Jul 6, 2023 (2 updates tracked since 2023).

About Ashley Manor Health & Rehabilitation Llc NPPES

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

ASHLEY MANOR HEALTH & REHABILITATION LLC (NPI 1811675440) is a healthcare organization registered as a skilled nursing facility in Boonville, Missouri and active in the NPI registry since July 2023. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Chaim Mandelbaum, Manager, as its authorized official.

NPPES Registry Identity

NPI1811675440
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameASHLEY MANOR HEALTH & REHABILITATION LLC
Location Address1630 RADIO HILL RDBoonville, MO 65233-1957
Mailing Address1630 Radio Hill RdBoonville, MO 65233-1957 · (660) 882-6584
Phone(660) 882-6584
Fax(660) 882-2267
Organization SubpartNo
Authorized OfficialChaim MandelbaumManager · (660) 882-6584
Enumeration DateJuly 5, 2023
Last NPPES UpdateJuly 26, 20232 updates tracked since enumeration
NPPES CertifiedJuly 26, 2023
✔ NPI 1811675440 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
Definition

(1) A skilled nursing facility is a facility or distinct part of an institution whose primary function is to provide medical, continuous nursing, and other health and social services to patients who are not in an acute phase of illness requiring services in a hospital, but who require primary restorative or skilled nursing services on an inpatient basis above the level of intermediate or custodial care in order to reach a degree of body functioning to permit self care in essential daily living. It meets any licensing or certification standards et forth by the jurisdiction where it is located. A skilled nursing facility may be a freestanding facility or part of a hospital that has been certified by Medicare to admit patients requiring subacute care and rehabilitation; (2) Provides non-acute medical and skilled nursing care services, therapy and social services under the supervision of a licensed registered nurse on a 24-hour basis.

1630 RADIO HILL RD, Boonville, MO 65233
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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 26D0446425

Ashley Manor Health & Rehabilitaion · Boonville, MO
Active · expires Jul 18, 2027
CLIA Number26D0446425
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateJuly 19, 2025
Certificate Expiration DateJuly 18, 2027
Laboratory DirectorHeather Degraffenreid
Laboratory Phone(660) 882-6584
Laboratory LocationAshley Manor Health & Rehabilitaion1630 Radio Hill Road, Boonville, MO 65233
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Nursing Home Quality Ratings CMS Care Compare

Quality ratings, staffing and inspection history for Ashley Manor Health & Rehabilitation (CMS certification number 265738), from CMS Care Compare.

Ashley Manor Health & Rehabilitation

Nursing home · Boonville, MO
2/5 CMS Overall Rating
OwnershipFor profit - Limited Liability company
CMS Certification Number265738
Certified Beds52 beds58 residents per day on average
Medicare & Medicaid Participant SinceMay 14, 2002
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
2/5
Long-Stay Quality
Quality of care delivered to long-term residents.
1/5
Short-Stay Quality
Quality of care delivered to short-term and rehabilitation residents.
5/5
Staffing
Based on nursing staff hours relative to resident needs.
1/5
Weighted Health Inspection Score
Lower scores are better; the score summarizes deficiencies found on recent inspections.
68.67
Ratings are assigned by CMS on a one-to-five star scale; five is the highest. Categories without a current CMS rating are not shown.

Staffing & Turnover

Total Nurse Staffing
nurse aide 1.67 · LPN 0.45 · RN 0.24
2.36 hrs per resident per day
Weekend Nurse Staffing
1.99 hrs per resident per day
Physical Therapist Staffing
0.03 hrs per resident per day
Administrators Who Have Left
In the past year.
1
Higher staffing hours generally allow more direct care time per resident.

Inspections & Enforcement

Facility-Reported Incidents
0
Substantiated Complaints
3
Fines
0
Medicare Payment Denials
0
Total Penalties
0
Counts come from CMS inspections and complaint investigations over approximately the past three years. CMS Care Compare data as of October 1, 2024.

Other Providers at the Same Location NPPES 2

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

DR. KELLIE MARIE ASHER DPT
Physical Medicine & Rehabilitation
1630 RADIO HILL RD
BOONVILLE, MO 65233
Cooper County (660) 882-6584
ASHLEY MANOR, INC.
Skilled Nursing Facility
1630 RADIO HILL RD
BOONVILLE, MO 65233
Cooper County (660) 882-6584

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 Ashley Manor Health & Rehabilitation LLC's NPI number?

The NPI number for Ashley Manor Health & Rehabilitation LLC is 1811675440. It was assigned to this organization in the NPPES registry on July 5, 2023.

Where is Ashley Manor Health & Rehabilitation LLC located?

Ashley Manor Health & Rehabilitation LLC is located at 1630 Radio Hill Rd, Boonville, MO 65233. The listed phone number is (660) 882-6584.

What is Ashley Manor Health & Rehabilitation LLC's specialty?

The primary specialty registered for this NPI is Skilled Nursing Facility with taxonomy code 314000000X.

Does Ashley Manor Health & Rehabilitation LLC hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0446425) is associated with this NPI, valid through July 18, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Ashley Manor Health & Rehabilitation LLC a Medicare-certified nursing home?

Yes. Ashley Manor Health & Rehabilitation is a Medicare-certified nursing home with 52 certified beds.

What quality rating does Ashley Manor Health & Rehabilitation LLC have?

CMS rates Ashley Manor Health & Rehabilitation 2 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

When was this NPI record last updated?

The NPPES record for Ashley Manor Health & Rehabilitation LLC was last updated on July 26, 2023. NPI Profile syncs with the weekly NPPES data releases published by CMS.