OZARK MANOR INC
NPI 1851516546
Assisted Living Facility in Fredericktown, MO

Q: What is Ozark Manor Inc's NPI number?

The NPI number for Ozark Manor Inc is 1851516546. It was assigned to this organization in the NPPES registry on April 16, 2007.

Q: What is Ozark Manor Inc's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Ozark Manor Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.

Active since April 16, 2007CLIA 26D2124142 · Waiver

1013 HIGHWAY Z, FREDERICKTOWN, MO 63645(573) 783-8338(573) 783-8339 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: November 08, 2026.

On this page

About Ozark Manor Inc NPPES

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

OZARK MANOR INC (NPI 1851516546) is a healthcare organization registered as an assisted living facility in Fredericktown, Missouri and active in the NPI registry since April 2007. The organization holds a CLIA Waiver certificate valid through January 9, 2027 and lists Kristin Rene Herbst, Admin, as its authorized official.

NPPES Registry Identity

NPI1851516546

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameOZARK MANOR INC

Location Address1013 HIGHWAY ZFredericktown, MO 63645-8035

Mailing Address1013 Highway ZFredericktown, MO 63645-8035 · (573) 783-8338 · Fax (573) 783-8339

Phone(573) 783-8338

Fax(573) 783-8339

Organization SubpartNo

Authorized OfficialKristin Rene HerbstAdmin · (573) 783-8338

Enumeration DateApril 16, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1851516546 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities

Taxonomy Code310400000X

License✔ Licensed in MO · 031742

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.

1013 HIGHWAY Z, Fredericktown, MO 63645

Open in Google Maps ↗

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 26D2124142

Ozark Manor Alf · Fredericktown, MO

Active · expires Jan 9, 2027

CLIA Number26D2124142

Laboratory TypeAssisted Living Facility

Certificate Effective DateJanuary 10, 2025

Certificate Expiration DateJanuary 9, 2027

Laboratory DirectorKristin R. Herbst

Laboratory Phone(573) 783-8338

Laboratory LocationOzark Manor Alf1013 Hwy Z, Fredericktown, MO 63645

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

NICOLE SOKOLIC

Speech-Language Pathologist

1013 HIGHWAY Z
FREDERICKTOWN, MO 63645

Madison County (573) 783-8338

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 Ozark Manor Inc's NPI number?

The NPI number for Ozark Manor Inc is 1851516546. It was assigned to this organization in the NPPES registry on April 16, 2007.

Where is Ozark Manor Inc located?

Ozark Manor Inc is located at 1013 Highway Z, Fredericktown, MO 63645. The listed phone number is (573) 783-8338.

What is Ozark Manor Inc's specialty?

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

Does Ozark Manor Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D2124142) is associated with this NPI, valid through January 9, 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 Ozark Manor Inc was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.