BRISTOL MANOR OF BETHANY
NPI 1336354927
Assisted Living Facility in Bethany, MO
NPI Status: Active since May 14, 2007
Contact Information
811 S 24TH ST
BETHANY, MO
ZIP 64424
Phone: (660) 425-7133
Fax: (660) 425-7133
- Organization
- Assisted Living Facility
- CLIA Number: 26D0952186
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 10-05-2026
About BRISTOL MANOR OF BETHANY
This page provides the complete NPI Profile along with additional information for Bristol Manor Of Bethany, a provider established in Bethany, Missouri operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1336354927 assigned on May 2007. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 18 years ago. The provider's other name is Bristol Manor Of Bethany. The authorized official of this NPI record is Mrs. Shelley Deanne Ebeling (Medicaid Billing Department)
- NPI
- 1336354927
- Provider Legal Name
- BRISTOL CARE, INC.
- Other Organization Name
- BRISTOL MANOR OF BETHANY
- Other Name Type
- Other Name (5)
- Entity Type
- Organization
- Location Address
- 811 S 24TH ST BETHANY, MO 64424
- Location Phone
- (660) 425-7133
- Location Fax
- (660) 425-7133
- Mailing Address
- 201 W 3RD ST SEDALIA, MO 65301
- Mailing Phone
- (660) 826-0200
- Mailing Fax
- (660) 425-7133
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-14-2007
- Last Update Date
- 10-02-2007
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 26D0952186
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- October 06, 2024
- Certificate Expiration Date
- October 05, 2026
- Laboratory Director
- TAYLOR CONNOR
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Bristol Manor Of Bethany to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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NPI Validation Check Digit Calculation
The following table explains the step by step NPI number validation process using the ISO standard Luhn algorithm.
| Start with the original NPI number, the last digit is the check digit and is not used in the calculation. | |||||||||
| 1 | 3 | 3 | 6 | 3 | 5 | 4 | 9 | 2 | 7 |
| Step 1: Double the value of the alternate digits, beginning with the rightmost digit. | |||||||||
| 2 | 3 | 6 | 6 | 6 | 5 | 8 | 9 | 4 | |
| Step 2: Add all the doubled and unaffected individual digits from step 1 plus the constant number 24. | |||||||||
| 2 + 3 + 6 + 6 + 6 + 5 + 8 + 9 + 4 + 24 = 73 | |||||||||
| Step 3: Subtract the total obtained in step 2 from the next higher number ending in zero, the result is the check digit. | |||||||||
| 80 - 73 = 7 | 7 | ||||||||
The NPI number 1336354927 is valid because the calculated check digit 7 using the Luhn validation algorithm matches the last digit of the original NPI number.
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1336354927, enumerated in the NPI registry as an "organization" on May 14, 2007
The provider is located at 811 S 24th St Bethany, Mo 64424 and the phone number is (660) 425-7133
This medical organization specializes in Assisted Living Facility with taxonomy code 310400000X
The provider's CLIA number is 26D0952186 for a "assisted living facility" facility with a CLIA Certificate of Waiver. This CLIA certificate is issued to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria..
This NPI record was last updated on May 14, 2007. To officially update your NPI information contact the National Plan and Provider Enumeration System (NPPES) at 1-800-465-3203 (NPI Toll-Free) or by email at [email protected].
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