JEFFERSON CITY MANOR CARE CENTER
NPI 1962507459
Skilled Nursing Facility in Jefferson City, MO

Active since September 13, 2006CLIA 26D0446125 · Waiver
1/5
Overall Rating
1720 VIETH DR, JEFFERSON CITY, MO 65109(573) 635-6193(573) 659-8925 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Jefferson City Manor Care Center NPPES

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

JEFFERSON CITY MANOR CARE CENTER (NPI 1962507459) is a healthcare organization registered as a skilled nursing facility in Jefferson City, Missouri and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through October 25, 2026 and lists Benjamin C. Scheulen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1962507459
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameJEFFERSON CITY MANOR INC
Location Address1720 VIETH DRJefferson City, MO 65109-2056
Mailing Address1720 Vieth DrJefferson City, MO 65109-2056 · (573) 635-6193 · Fax (573) 659-8925
Fax(573) 659-8925
Organization SubpartNo
Authorized OfficialBenjamin C. ScheulenCeo · (573) 556-6240
Enumeration DateSeptember 13, 2006
Last NPPES UpdateNovember 23, 2016
NPI 1962507459 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtySkilled Nursing FacilityNursing & Custodial Care Facilities
Taxonomy Code314000000X
License Licensed in MO · 017299
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.
1720 VIETH DR, Jefferson City, MO 65109

Other Names 1

Doing Business AsJefferson City Manor Care Center

Other Identifiers 2

Medicaid102159605MO
Medicare OSCAR/certification265285

Accepted Insurance

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 26D0446125

Jefferson City Manor · Jefferson City, MO
Active · expires Oct 25, 2026
CLIA Number26D0446125
Laboratory TypeSkilled Nursing Facility/Nursing Facility
Certificate Effective DateOctober 26, 2024
Certificate Expiration DateOctober 25, 2026
Laboratory DirectorRachel L. Patterson
Laboratory Phone(573) 635-6193
Laboratory LocationJefferson City Manor1720 Vieth Drive, Jefferson City, MO 65109
CLIA data matches this NPI record on: Address Name 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 Jefferson City Manor Care Center (CMS certification number 265285), from CMS Care Compare.

Jefferson City Manor Care Center

Nursing home · Jefferson City, MO
1/5 CMS Overall Rating
OwnershipFor profit - Corporation
CMS Certification Number265285
Certified Beds102 beds68 residents per day on average
Medicare & Medicaid Participant SinceAugust 22, 1985
Resident & Family CouncilResident council
Automatic sprinkler system

CMS Star Ratings

Quality Measures
Based on a select set of clinical quality measures.
1/5
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.
1/5
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.
70
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 2.45 · LPN 0.68 · RN 0.3
3.44 hrs per resident per day
Weekend Nurse Staffing
3.05 hrs per resident per day
Physical Therapist Staffing
0.02 hrs per resident per day
Nursing Staff Turnover
Share of nursing staff who left the facility within the past year.
84%
Registered Nurse Turnover
83.3%
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
1
Substantiated Complaints
2
Infection-Control Citations
0
Fines
2 totaling $8,840.00
Medicare Payment Denials
0
Total Penalties
2
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 12

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

Occupational Therapist
1720 VIETH DR
JEFFERSON CITY, MO 65109
Physical Therapy Assistant
1720 VIETH DR
JEFFERSON CITY, MO 65109
Occupational Therapist
1720 VIETH DR
JEFFERSON CITY, MO 65109
Physical Therapy Assistant
1720 VIETH DR
JEFFERSON CITY, MO 65109
Occupational Therapy Assistant
1720 VIETH DR
JEFFERSON CITY, MO 65109
Skilled Nursing Facility
1720 VIETH DR
JEFFERSON CITY, MO 65109
Physical Therapy Assistant
1720 VIETH DR
JEFFERSON CITY, MO 65109
Nurse Practitioner (Family)
1720 VIETH DR
JEFFERSON CITY, MO 65109

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 Jefferson City Manor Inc's NPI number?

The NPI number for Jefferson City Manor Inc is 1962507459. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is doing business as Jefferson City Manor Care Center.

Where is Jefferson City Manor Inc located?

Jefferson City Manor Inc is located at 1720 Vieth Dr, Jefferson City, MO 65109. The listed phone number is (573) 635-6193.

What is Jefferson City Manor Inc's specialty?

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

Does Jefferson City Manor Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 26D0446125) is associated with this NPI, valid through October 25, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

Is Jefferson City Manor Inc a Medicare-certified nursing home?

Yes. Jefferson City Manor Care Center is a Medicare-certified nursing home with 102 certified beds.

What quality rating does Jefferson City Manor Inc have?

CMS rates Jefferson City Manor Care Center 1 out of 5 stars overall on Care Compare. The full measure detail is in the Nursing Home Quality Ratings section above.

What insurance does Jefferson City Manor Inc accept?

Health plans from Medica and UnitedHealthcare list Jefferson City Manor Inc as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.

When was this NPI record last updated?

The NPPES record for Jefferson City Manor Inc was last updated on November 23, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.