BRISTOL CARE, INC. (NPI# 1235345349) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235345349 |
| Entity Type | Organization |
| Organization Name | BRISTOL CARE, INC. |
| Other Organization Name | BRISTOL MANOR OF PRINCETON |
| Practice Address |
200 N Fullerton St Princeton MO 64673-1176 |
| Mailing Address |
201 W 3rd St Sedalia MO 65301-4352 |
| Practice Telephone | 6607484354 |
| Practice Fax Number | 6607484354 |
| Mailing Telephone | 6608260200 |
| Mailing Fax Number | 6608272027 |
| Enumeration Date | 2007-05-15 |
| Last Update Date | 2007-10-03 |
| Authorized Official Name | SHELLEY D EBELING (MEDICAID BILLING DEPARTMENT) |
| Authorized Official Telephone | 6608260200 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Bristol Manor of Princeton | Other Name - Individual/Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1154539781 | Bristol Care, Inc. | Assisted Living Facility | 204 South 65 Highway, Lincoln, MO 65338-9540 | 2007-05-18 |
| 1598972580 | Bristol Care, Inc. | Assisted Living Facility | 704 W Chestnut St, Fulton, MO 65251-1254 | 2007-05-17 |
| 1437365145 | Bristol Care, Inc. | Assisted Living Facility | 402 Redbud Rd, Concordia, MO 64020-8358 | 2007-05-16 |
| 1225244940 | Bristol Care, Inc. | Assisted Living Facility | 1316 Deadra Dr, Lebanon, MO 65536-4609 | 2007-05-16 |
| 1861608598 | Bristol Care, Inc. | Assisted Living Facility | 5173 N 22nd St, Ozark, MO 65721-7637 | 2007-05-16 |
| 1659587384 | Bristol Care, Inc. | Assisted Living Facility | 1109 W Old Farm Rd, Mexico, MO 65265-3250 | 2007-05-16 |
| 1255547972 | Bristol Care, Inc. | Assisted Living Facility | 401 Sw Rock Creek Ln, Grain Valley, MO 64029-8460 | 2007-05-16 |
| 1598971848 | Bristol Care, Inc. | Assisted Living Facility | 1017 Lawn St, Monroe City, MO 63456-1433 | 2007-05-15 |
| 1861608812 | Bristol Care, Inc. | Assisted Living Facility | 200 Groce St, Fayette, MO 65248-9813 | 2007-05-15 |
| 1811103013 | Bristol Care, Inc. | Assisted Living Facility | 2049 Rose Ln, Pacific, MO 63069-1165 | 2007-05-15 |
| Street Address |
200 N FULLERTON ST |
| City | PRINCETON |
| State | MO |
| Zip Code | 64673-1176 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699860312 | Amy Lee Mcdaniel | Physical Therapist | 807 Hickland St, Princeton, MO 64673 | 2006-10-04 |
| 1417983503 | Hy Vee Inc | Durable Medical Equipment & Medical Supplies | 710 Main St, Princeton, MO 64673 | 2006-06-23 |
| 1043291255 | Pearl's II Eden for Elders LLC | Skilled Nursing Facility | 611 N College Ave, Princeton, MO 64673-1051 | 2005-11-07 |
| 1588737555 | Pearls Residential Care LLC | Assisted Living Facility | 308 S Broadway St, Princeton, MO 64673-1111 | 2006-11-16 |
| 1679510556 | Mercer County Ambulance District | Ambulance | 201 W Hickland St, Princeton, MO 64673-1128 | 2006-06-01 |
| 1477708519 | Mercer County Ambulance District | Ambulance | 201 W Hickland St, Princeton, MO 64673-1128 | 2008-11-17 |
| 1053430561 | Mercer County Health Department | Public Health or Welfare | 305 W Main St, Princeton, MO 64673-1133 | 2007-03-28 |
| 1366949877 | Community Health Centers of Southern Iowa, Inc | Clinic/Center | 606 W Main St, Princeton, MO 64673-1140 | 2018-04-11 |
| 1235331000 | Philip Stephen Staehling | Pharmacist | 710 W Main St, Princeton, MO 64673-1141 | 2007-06-04 |
| 1871662767 | Princeton Physical Therapy and Sports Medicine LLC | Physical Therapist | 807 E Hickland St, Princeton, MO 64673-1227 | 2006-11-07 |
| Find all providers in zip 64673 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| 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. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1033735121 | Artis Senior Living of Princeton Junction, LLC | Assisted Living Facility | 861 Alexander Rd, Princeton, NJ 08540-6310 | 2020-06-24 |
| 1851647333 | Atrium At Princeton LLC | Assisted Living Facility | 1000 Windrow Dr, Princeton, NJ 08540-5007 | 2012-08-02 |
| 1073804803 | Sterling Pointe Senior Living LLC | Assisted Living Facility | 1250 Northland Drive, Princeton, MN 55371 | 2011-04-27 |
| 1003130154 | Caley House | Assisted Living Facility | 104 South 8th Avenue, Princeton, MN 55371-1735 | 2010-03-18 |
| 1023285566 | Residential Alternatives of Illinois Inc | Assisted Living Facility | 140 North Sixth Street, Princeton, IL 61356-1878 | 2008-05-14 |
| 1568669778 | Hawthorne Inn Supportive Living Facility | Assisted Living Facility | 136 N. Sixth St., Princeton, IL 61356 | 2007-06-29 |
| 1013124593 | Adeline E. Prouty Trust | Assisted Living Facility | 508 Park Ave E, Princeton, IL 61356-2538 | 2007-05-16 |
| 1598887762 | Quality Assisted Living, Inc. | Assisted Living Facility | 775 Mount Lucas Rd, Princeton, NJ 08540-1954 | 2007-04-06 |
| 1669518403 | Villa Asuncion Independent & Assisted Living Center | Assisted Living Facility | 830 E Princeton Dr, Princeton, TX 75407-9015 | 2007-01-29 |
| 1588737555 | Pearls Residential Care LLC | Assisted Living Facility | 308 S Broadway St, Princeton, MO 64673-1111 | 2006-11-16 |
| Find all providers in PRINCETON | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.