Jefferson City Manor Care Center

LBN: Jefferson City Manor Inc
Jefferson City Manor Care Center is an health care organization with primary practice located at 1720 Vieth Dr , Jefferson City MO 65109-2056. 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. Jefferson City Manor Inc can be contacted via phone (573) 635-6193, or through Scheulen, Benjamin C. via phone (573) 556-6240.

Contact Information

Primary practice address
1720 Vieth Dr Jefferson City MO 65109-2056
Phone: (573) 635-6193
Fax: (573) 659-8925
Website:
Map and Directions
Authorized official contact:
Name: Scheulen, Benjamin C.
Phone: (573) 556-6240

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 017299 Missouri

Profile Details

NPI number 1962507459
LBN Legal business name Jefferson City Manor Inc
DBA Doing business as Jefferson City Manor Care Center
Authorized official Scheulen, Benjamin C.
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Nov 23rd, 2016 - about 9 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 1962507459 NPPES
Missouri MEDICAID 102159605

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