ASHLEY MANOR CARE CENTER
NPI 1982709457
Skilled Nursing Facility in Boonville, MO

Active since September 13, 2006CLIA 26D0446425 · Waiver
1630 RADIO HILL RD, BOONVILLE, MO 65233(660) 882-6584(660) 882-2267 Get Directions Write a Review

NPPES record last updated: November 23, 2016. Verified against the NPPES registry weekly; last sync: September 27, 2026.

About Ashley Manor Care Center NPPES

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

ASHLEY MANOR CARE CENTER (NPI 1982709457) is a healthcare organization registered as a skilled nursing facility in Boonville, Missouri and active in the NPI registry since September 2006. The organization holds a CLIA Waiver certificate valid through July 18, 2027 and lists Benjamin C. Scheulen, Ceo, as its authorized official.

NPPES Registry Identity

NPI1982709457
Entity TypeOrganization
Primary Taxonomy314000000X
Legal Business NameASHLEY MANOR, INC.
Location Address1630 RADIO HILL RDBoonville, MO 65233-1957
Mailing Address1630 Radio Hill RdBoonville, MO 65233-1957 · (660) 882-6584 · Fax (660) 882-2267
Fax(660) 882-2267
Organization SubpartNo
Authorized OfficialBenjamin C. ScheulenCeo · (573) 556-6240
Enumeration DateSeptember 13, 2006
Last NPPES UpdateNovember 23, 2016
✔ NPI 1982709457 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 · 017160
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

Other Names 1

Doing Business AsAshley Manor Care Center

Other Identifiers 2

Medicaid102188604MO
Medicare OSCAR/certification265738

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 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 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.

Physical Medicine & Rehabilitation
1630 RADIO HILL RD
BOONVILLE, MO 65233
Skilled Nursing Facility
1630 RADIO HILL RD
BOONVILLE, MO 65233

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, Inc.'s NPI number?

The NPI number for Ashley Manor, Inc. is 1982709457. It was assigned to this organization in the NPPES registry on September 13, 2006. The provider is doing business as Ashley Manor Care Center.

Where is Ashley Manor, Inc. located?

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

What is Ashley Manor, Inc.'s specialty?

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

Does Ashley Manor, Inc. 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.

What insurance does Ashley Manor, Inc. accept?

Health plans from Anthem Blue Cross and Blue Shield and UnitedHealthcare list Ashley 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 Ashley 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.