MANOR HOME (NPI# 1336273069) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1336273069 |
| Entity Type | Organization |
| Organization Name | MANOR HOME |
| Other Organization Name | MANOR HOME |
| Practice Address |
107 Nanette St Belton MO 64012-3032 |
| Mailing Address |
220 Manor Dr Belton MO 64012-1990 |
| Practice Telephone | 8163220506 |
| Mailing Telephone | 8163224209 |
| Mailing Fax Number | 8163227978 |
| Enumeration Date | 2007-03-15 |
| Last Update Date | 2008-06-26 |
| Authorized Official Name | MRS. SANDRA VANEATON (ADMINISTRATOR) |
| Authorized Official Telephone | 8163224209 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 315P00000X | Intermediate Care Facility, Mentally Retarded | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 857846208 | 05 |
| Other Name | Type Code |
|---|---|
| Manor Home | Doing Business As Name - Organization |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | MANOR HOMES INC. | Po Box 19608, Roanoke, Virginia 24019 |
| Washington State Corporations | MANOR HOMES NORTHWEST, INC. | 1311 Ne 134th St Ste 244, Vancouver, WA 98685-2754 |
| Iowa Business Entities | MANOR HOMES OF KIMBERLY VILLAGE HOMEOWNERS ASSOCIATION, INC. | 4033 Lillie Ave 14c, Davenport, IA 52806 |
| Washington State Corporations | MANOR HOMES WASHINGTON, INC. | 1311 Ne 134th St, Ste B, Vancouver, WA 98685-2723 |
| Oregon Corporations, Companies and Business Names | MANOR HOMES WASHINGTON, INC. | 1311 Ne 134th St Ste B, Vancouver, WA 98685 |
| Washington State Corporations | MANOR HOMES, LLC | 1311 Ne 134th St, Ste B, Vancouver, WA 98685-2754 |
| Connecticut Business Registrations | MANOR HOMES, LLC | 73 Balfour Drive, West Hartford, CT 06117 |
| Street Address |
107 NANETTE ST |
| City | BELTON |
| State | MO |
| Zip Code | 64012-3032 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1952929614 | Brianna Buchheit | Dentist | 701 E Market Pkwy, Belton, MO 64012 | 2020-07-09 |
| 1518400290 | Ti-carnegie Village, LLC | Skilled Nursing Facility | 105 Bernard Drive, Belton, MO 64012 | 2016-11-29 |
| 1720432305 | Erin Washington | Specialist/Technologist | 801 W. North Ave, Belton, MO 64012 | 2016-04-20 |
| 1558726844 | Catherine Smith | Specialist/Technologist | 17065 Us-71, Belton, MO 64012 | 2015-12-31 |
| 1982077673 | Missouri Dental Professionals, Richard Straus, Dmd, PC | Dentist | 630 E. Markey Parkway, Belton, MO 64012 | 2015-11-04 |
| 1326484858 | Amanda Mccune | Nurse Practitioner | 1400 E. North Avenue, Belton, MO 64012 | 2013-05-10 |
| 1376895094 | Alex Sharifian,dds,. Belton Modern Dentistry, P.c | Dentist | 1731 East North Avenue, Belton, MO 64012 | 2012-10-04 |
| 1912260910 | Lindsey Belt Emergency Physicians, LLC | Emergency Medicine | 17065 S. 71 Highway, Belton, MO 64012 | 2012-06-25 |
| 1376810598 | Erica Renee Bourbon | Nurse Practitioner | 17065 S. 71 Hwy, Belton, MO 64012 | 2011-11-17 |
| 1790073450 | Dale David Laird | Ophthalmology | 30 Hever Knoll, Loch Lloyd, MO 64012 | 2011-07-15 |
| Find all providers in zip 64012 | ||||
| Taxonomy Code | 315P00000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Intermediate Care Facility, Mentally Retarded |
| (1) A public institution for care of the mentally retarded or people with related conditions. (2) An institution giving active treatment to mentally retarded or developmentally disabled persons or persons with related conditions. The primary purpose of the institution is to provide health or rehabilitative services to such individuals. |
| Notes: Sources: (1) Lexikon: Dictionary of Health Care Terms, Organizations and Acronyms for the Era of Reform, Joint Commission on Accreditation of Healthcare Organizations, Oakbrook Terrace, IL: 1994, p. 403 (2) Paraphrased from Code of Federal Regulations #42, Public Health, Section 440.150(c). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1699213603 | Equilibrium Homes of St. Louis LLC | Intermediate Care Facility, Mentally Retarded | 3054 Sir Christopher Ln, Florissant, MO 63033-3114 | 2017-02-09 |
| 1164657664 | Caring Hands LLC | Intermediate Care Facility, Mentally Retarded | 2832 558th Rd, Albany, MO 64402-8138 | 2009-05-27 |
| 1477788966 | Loving Orchards Homes | Intermediate Care Facility, Mentally Retarded | 1400 Sw Merryman Dr, Lees Summit, MO 64082-3906 | 2009-05-27 |
| 1073771358 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 3117 Maury Ave, Saint Louis, MO 63116-2021 | 2008-05-23 |
| 1619135985 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 7400 Augusta Ave, Saint Louis, MO 63121-4802 | 2008-05-23 |
| 1255599528 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 4242 Russell Blvd, Saint Louis, MO 63110-3511 | 2008-05-23 |
| 1619135993 | Magdala Foundation | Intermediate Care Facility, Mentally Retarded | 3900 Canterbury Dr, Saint Louis, MO 63121-2500 | 2008-05-23 |
| 1164630463 | State of Missouri | Intermediate Care Facility, Mentally Retarded | 11 Brady Cir, Overland, MO 63114-1110 | 2007-05-18 |
| 1376667469 | Focus On Residential Services Dba Lafayette Habilitation Center | Intermediate Care Facility, Mentally Retarded | 2701 Henrietta St, Saint Louis, MO 63104-2007 | 2007-03-16 |
| 1760557763 | Cameron Group Care, Inc | Intermediate Care Facility, Mentally Retarded | 625 Harris Ln, Cameron, MO 64429-1121 | 2006-11-22 |
| Find all providers with the same taxonomy | ||||
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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.