ASHLEY MANOR, INC. (NPI# 1982709457) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1982709457 |
| Entity Type | Organization |
| Organization Name | ASHLEY MANOR, INC. |
| Other Organization Name | ASHLEY MANOR CARE CENTER |
| Practice Address |
1630 Radio Hill Rd Boonville MO 65233-1957 |
| Practice Telephone | 6608826584 |
| Practice Fax Number | 6608822267 |
| Mailing Telephone | 6608826584 |
| Mailing Fax Number | 6608822267 |
| Enumeration Date | 2006-09-13 |
| Last Update Date | 2016-11-23 |
| Authorized Official Name | BENJAMIN C. SCHEULEN (CEO) |
| Authorized Official Telephone | 5735566240 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 314000000X | Skilled Nursing Facility | 017160 | MO | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| MO | 102188604 | 05 |
| Other Name | Type Code |
|---|---|
| Ashley Manor Care Center | Doing Business As Name - Organization |
| Street Address |
1630 RADIO HILL RD |
| City | BOONVILLE |
| State | MO |
| Zip Code | 65233-1957 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1598395691 | Kellie Marie Asher | Physical Medicine & Rehabilitation | 1630 Radio Hill Rd, Boonville, MO 65233-1957 | 2020-01-17 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1750788022 | Aneisa Lynn Sherrill-mattox | Social Worker | 413 E Spring Street, Boonville, MO 65233 | 2014-12-02 |
| 1427216555 | Boonville Residential LLC | Assisted Living Facility | 600 Rankin Mill Lane, Boonville, MO 65233 | 2008-05-27 |
| 1851593479 | Cooper County Ambulance District | Ambulance | 17651 B Highway, Boonville, MO 65233 | 2007-06-05 |
| 1538181409 | Dancing Horizon Health Foundation, Inc. | Family Medicine | 2400 Boonslick Drive, Boonville, MO 65233 | 2006-07-23 |
| 1588697965 | Dialysis Clinic Inc. | Clinic/Center | 600 Rankin Mill Ln, Boonville, MO 65233 | 2006-07-08 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1730178864 | Pinnacle Regional Hospital, LLC | General Acute Care Hospital | 17651 B Hwy, Boonville, MO 65233 | 2005-10-20 |
| 1710477187 | Ashlyn Elizabeth Sappington | Dental Hygienist | 1115 Main St, Boonville, MO 65233 | 2018-05-11 |
| 1083825988 | Harold K Hombs | Dentist | 1115 Main, Boonville, MO 65233 | 2007-05-24 |
| 1548480601 | Pinnacle Regional Hospital, LLC | Medicare Defined Swing Bed Unit | 17651 B Hwy, Boonville, MO 65233 | 2007-04-30 |
| Find all providers in zip 65233 | ||||
| Taxonomy Code | 314000000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Skilled Nursing Facility |
| (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. |
| Notes: Source: (1) "Glossary of terms used in managed care" Developed by the Managed Care Assembly (MCA) of Medical Group Management Association (MGMA), MGM Journal, September/October 1995, p. 64; (2) AHA Guide, 1996 Annual Survey. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1548679178 | Donald Morgan | Skilled Nursing Facility | 1349 Burton Rd, Boonville, NC 27011-8609 | 2014-08-07 |
| 1063599140 | Good Samaritan Hospital | Skilled Nursing Facility | 1325 N Rockport Rd, Boonville, IN 47601-2346 | 2006-11-01 |
| 1295767275 | Boonville No 1 Inc | Skilled Nursing Facility | 1450 W Ashley Rd, Boonville, MO 65233 | 2006-07-07 |
| 1073597746 | Sunset Nursing and Rehabilitation Center | Skilled Nursing Facility | 232 Academy St, 232 Academy St, Boonville, NY 13309-1397 | 2005-12-06 |
| 1740270701 | Southwind Healthcare Inc | Skilled Nursing Facility | 725 S 2nd St, Boonville, IN 47601-1961 | 2005-10-21 |
| 1215225792 | Major Hospital | Skilled Nursing Facility | 305 E North St, Boonville, IN 47601-1357 | 2011-07-18 |
| 1457569915 | Major Hospital | Skilled Nursing Facility | 725 S 2nd St, Boonville, IN 47601-1961 | 2007-05-18 |
| 1306066162 | Cooper County Memorial Hospital | Skilled Nursing Facility | 17651 B Hwy, Boonville, MO 65233-2839 | 2007-04-26 |
| 1740212760 | Boonville No 2 Inc | Skilled Nursing Facility | 1121 11th St, Boonville, MO 65233-1419 | 2006-07-07 |
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| 1760006308 | Sunterra Dardenne Prairie Oc LLC | Skilled Nursing Facility | 7275 Highway N, Dardenne Prairie, MO 63368-7126 | 2020-05-29 |
| 1184247215 | Berry Medical Properties, LLC | Skilled Nursing Facility | 11380 Natural Bridge Rd, Bridgeton, MO 63044-2307 | 2020-05-23 |
| 1881249464 | Rolla Grand LLC | Skilled Nursing Facility | 1800 White Columns Dr, Rolla, MO 65401-2044 | 2019-08-09 |
| 1184276982 | Willow Health Care Inc | Skilled Nursing Facility | 712 Copper Rock Dr, Rogersville, MO 65742-8970 | 2019-07-11 |
| 1548734627 | Medicore Medical Service LLC | Skilled Nursing Facility | 2303 Kratky Rd Apt B, Saint Louis, MO 63114-1783 | 2019-01-11 |
| 1518436724 | Missouri Nursing & Rehab LLC | Skilled Nursing Facility | 783 Weber Road, Farmington, MO 63640-3318 | 2018-11-16 |
| 1982172342 | Arrowhead Retirement Operations LLC | Skilled Nursing Facility | 6100 Arrowhead Drive, Osage Beach, MO 65065 | 2018-11-05 |
| 1578039467 | Laverna Senior Living LLC | Skilled Nursing Facility | 904 S Hall Ave, Savannah, MO 64485-1952 | 2018-10-17 |
| 1093297152 | Community Care Center of Union Inc | Skilled Nursing Facility | 1080 Marie Lane, Union, MO 63084 | 2018-09-05 |
| 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.