Community Manor

LBN: Community Manor, Llc
Community Manor is an health care organization with primary practice located at 783 Weber Rd , Farmington MO 63640-3318. The organization recently has only one registered license in Nursing & Custodial Care Facilities / Skilled Nursing Facility, which is considered as the primary health care specialty. Community Manor, Llc can be contacted via phone (573) 756-8998, or through Shirshekan, Sharo via phone (573) 701-0600.

Contact Information

Primary practice address
783 Weber Rd Farmington MO 63640-3318
Phone: (573) 756-8998
Fax: (573) 756-8980
Website:
Map and Directions
Authorized official contact:
Name: Shirshekan, Sharo
Phone: (573) 701-0600

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 031312 Missouri

Profile Details

NPI number 1801981089
LBN Legal business name Community Manor, Llc
DBA Doing business as Community Manor
Authorized official Shirshekan, Sharo
Entity Organization
Organization subpart 1 No
Enumeration date Oct 4th, 2006
Last updated Dec 17th, 2013 - about 11 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1801981089 NPPES
Missouri MEDICAID 102481108

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