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CHILLICOTHE MANOR I LLC
NPI 1922786615
Assisted Living Facility in Chillicothe, MO

Active since July 11, 2023
1301 MONROE ST, CHILLICOTHE, MO 64601(660) 646-5180 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Chillicothe Manor I Llc NPPES

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

CHILLICOTHE MANOR I LLC (NPI 1922786615) is a healthcare organization registered as an assisted living facility in Chillicothe, Missouri and active in the NPI registry since July 2023. The organization lists Raquel Edery, Coo, as its authorized official.

NPPES Registry Identity

NPI1922786615
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCHILLICOTHE MANOR I LLC
Location Address1301 MONROE STChillicothe, MO 64601-1345
Mailing Address445 Central Ave Unit 215Cedarhurst, NY 11516-2021 · (516) 708-3503
Phone(660) 646-5180
Organization SubpartNo
Authorized OfficialRaquel EderyCoo · (516) 708-3503
Enumeration DateJuly 11, 2023
Last NPPES UpdateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1922786615 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.
1301 MONROE ST, Chillicothe, MO 64601
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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 26D0889184

Chillicothe Manor · Chillicothe, MO
Expired · Jul 20, 2026
CLIA Number26D0889184
Laboratory TypeResidential Care Facility
Certificate Effective DateJuly 21, 2024
Certificate Expiration DateJuly 20, 2026
Laboratory DirectorTammi S. Venneman
Laboratory Phone(660) 646-5180
Laboratory LocationChillicothe Manor1301 Monroe Street, Chillicothe, MO 64601
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 2

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

HARTEGAN,INC
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1301 MONROE ST
CHILLICOTHE, MO 64601
Livingston County (660) 646-5180
BARNABAS OPERATIONS INC.
Assisted Living Facility (Assisted Living, Mental Illness)
1301 MONROE ST
CHILLICOTHE, MO 64601
Livingston County (660) 646-5180

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 Chillicothe Manor I LLC's NPI number?

The NPI number for Chillicothe Manor I LLC is 1922786615. It was assigned to this organization in the NPPES registry on July 11, 2023.

Where is Chillicothe Manor I LLC located?

Chillicothe Manor I LLC is located at 1301 Monroe St, Chillicothe, MO 64601. The listed phone number is (660) 646-5180.

What is Chillicothe Manor I LLC's specialty?

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

When was this NPI record last updated?

The NPPES record for Chillicothe Manor I LLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months 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.