BRISTOL CARE, INC. (NPI# 1649486697) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1649486697 |
| Entity Type | Organization |
| Organization Name | BRISTOL CARE, INC. |
| Other Organization Name | BRISTOL MANOR OF WILLARD |
| Practice Address |
511 Watson St Willard MO 65781-8314 |
| Mailing Address |
201 W 3rd St Sedalia MO 65301-4352 |
| Practice Telephone | 4177420090 |
| Practice Fax Number | 4177420090 |
| 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 Willard | 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 |
511 WATSON ST |
| City | WILLARD |
| State | MO |
| Zip Code | 65781-8314 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1891275350 | Regional Services | Nurse Practitioner | 205 S Miller Rd, Willard, MO 65781 | 2018-08-15 |
| 1407335110 | Smith Management Services, LLC | Durable Medical Equipment & Medical Supplies | 520 E Jackson St Ste A, Willard, MO 65781 | 2018-08-13 |
| 1528425535 | Jennifer M Lankford | Pharmacist | 304 E. Jackson St. #2d, Willard, MO 65781 | 2016-01-21 |
| 1962695817 | Sarah Leigh King-finley | Counselor | 304 E. Jackon Street, Suite 204, Willard, MO 65781 | 2007-08-23 |
| 1538229968 | Lee R Bruner | Pharmacist | 304 E Jackson Street, Bbc Pharmacy, Willard, MO 65781 | 2006-12-08 |
| 1518062710 | Willard Chiropractic LLC | Chiropractor | 128 Grand Prairie, Willard, MO 65781 | 2006-09-13 |
| 1396785614 | Willard Carecentre, Inc | Skilled Nursing Facility | 400 Walnut Lane, Willard, MO 65781 | 2006-06-07 |
| 1346263696 | Dr. Stephen G. Powell, Dr. Ernest E. Curry, Dr. James C Jordan Dds LLC | Dentist | 403 E Jackson, Willard, MO 65781-0488 | 2006-07-26 |
| 1417280637 | Mollie R Leek | Speech-Language Pathologist | 460 Kime St, Willard, MO 65781-7233 | 2009-09-08 |
| 1306222153 | Casey Sumner | Occupational Therapist | 500 Kime St, Willard, MO 65781-7265 | 2015-08-04 |
| Find all providers in zip 65781 | ||||
| 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 |
|---|---|---|---|---|
| 1275974966 | Green Acres Family Care Home | Assisted Living Facility | 8465 Piney Woods Rd, Willard, NC 28478-8833 | 2013-07-10 |
| 1396002903 | Nevaeh's Dream Family Home Care | Assisted Living Facility | 2666 Shiloh Rd, Willard, NC 28478-4234 | 2012-04-19 |
| 1982101218 | Willard Healthcare LLC | Assisted Living Facility | 370 E Howard St, Willard, OH 44890-1656 | 2018-04-12 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1144820283 | Oak Meadows Rcf LLC | Assisted Living Facility | 5502 Misty Meadow Rd, Poplar Bluff, MO 63901-9287 | 2020-10-28 |
| 1700486859 | Hillcrest Residential Care | Assisted Living Facility | 9415 N North Browns Station Rd, Columbia, MO 65202-8671 | 2020-10-28 |
| 1700484250 | Americare At Field Pointe LLC | Assisted Living Facility | 5002 Gene Field Road, St Joseph, MO 64506 | 2020-10-15 |
| 1205433638 | Skyline Assisted Living LLC | Assisted Living Facility | 100 Hard Rock Rd, Van Buren, MO 63965-0780 | 2020-10-08 |
| 1023615622 | Four Seasons Care Corp | Assisted Living Facility | 230 Railroad St, Moscow Mills, MO 63362-1600 | 2020-10-06 |
| 1336754985 | Tiffany Springs Senior Care Community | Assisted Living Facility | 9101 N Ambassador Dr, Kansas City, MO 64154-7295 | 2020-09-10 |
| 1366053480 | Green Acres Assisted Living LLC | Assisted Living Facility | 411 N Kings Highway, Sikeston, MO 63801-1936 | 2020-08-12 |
| 1467062612 | Welcome Home Assisted Living, LLC | Assisted Living Facility | 5 Adams Dr, Dexter, MO 63841-1985 | 2020-08-03 |
| 1831725142 | Harmony Gardens Residential, LLC | Assisted Living Facility | 539 E Young Ave, Warrensburg, MO 64093-1228 | 2020-03-18 |
| 1386278414 | Family Partners Home LLC | Assisted Living Facility | 232 Creve Coeur Ave, Manchester, MO 63011-4040 | 2020-02-27 |
| Find all providers with the same taxonomy | ||||
Please comment or provide details below to improve the information on BRISTOL CARE, INC..
| 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.