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BRISTOL MANOR OF WENTZVILLE
NPI 1891901831
Assisted Living Facility in Wentzville, MO

Active since May 15, 2007CLIA 26D1039191 · Waiver
840 W NORTHVIEW AVE, WENTZVILLE, MO 63385(636) 639-6777(636) 639-6777 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 Wentzville NPPES

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

BRISTOL MANOR OF WENTZVILLE (NPI 1891901831) is a healthcare organization registered as an assisted living facility in Wentzville, Missouri and active in the NPI registry since May 2007. The organization holds a CLIA Waiver certificate valid through April 6, 2027 and lists Shelley D Ebeling, Medicaid Billing Department, as its authorized official.

NPPES Registry Identity

NPI1891901831
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameBRISTOL CARE, INC.
Location Address840 W NORTHVIEW AVEWentzville, MO 63385-1036
Mailing Address201 W 3rd StSedalia, MO 65301-4352 · (660) 826-0200 · Fax (660) 827-2027
Phone(636) 639-6777
Fax(636) 639-6777
Organization SubpartNo
Authorized OfficialShelley D EbelingMedicaid Billing Department · (660) 826-0200
Enumeration DateMay 15, 2007
Last NPPES UpdateOctober 3, 2007
✔ NPI 1891901831 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.
840 W NORTHVIEW AVE, Wentzville, MO 63385
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Other Names 1

Other NameBristol Manor Of Wentzville

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 26D1039191

Bristol Manor Of Wentzville · Wentzville, MO
Active · expires Apr 6, 2027
CLIA Number26D1039191
Laboratory TypeAssisted Living Facility
Certificate Effective DateApril 7, 2025
Certificate Expiration DateApril 6, 2027
Laboratory DirectorAshley Wilson
Laboratory Phone(636) 639-6777
Laboratory LocationBristol Manor Of Wentzville840 West Northview, Wentzville, MO 63385
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 1891901831. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is also known as Bristol Manor Of Wentzville.

Where is Bristol Care, Inc. located?

Bristol Care, Inc. is located at 840 W Northview Ave, Wentzville, MO 63385. The listed phone number is (636) 639-6777.

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 26D1039191) is associated with this NPI, valid through April 6, 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.