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BRISTOL CARE INC. NPI 1326254285


NPI Information

NPI: 1326254285
Provider Name: BRISTOL CARE, INC.

Other Name: ASHBURY HEIGHTS OF TIPTON

Classification: Assisted Living Facility - 310400000X
Entity Type: Organization

CLIA Number: 26D1049707

Address:
908 PARK AVE
TIPTON, MO
ZIP 65081
Phone: (660) 433-6496
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BRISTOL CARE, INC. is an assisted living facility in Tipton, MO. The provider is 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. BRISTOL CARE, INC. NPI is 1326254285. The provider is registered as an organization entity type.
The provider Other Name Is Ashbury Heights Of Tipton.

The provider's business location address is:

908 PARK AVE
TIPTON, MO
ZIP 65081-408
Phone: (660) 433-6496
Fax: (660) 433-6496

The provider's authorized official is Shelley D Ebeling .
The authorized official title is Medicaid Billing Department and has the following contact phone number (660) 826-0200.

The CLIA number assigned to this NPI record is 26D1049707 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 5/15/2007 and was last updated on 10/1/2007.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 5/5/2024

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