Livingston Manor Care Center

LBN: Livingston Manor Inc
Livingston Manor Care Center is an health care organization with primary practice located at 939 E Birch Dr , Chillicothe MO 64601-2189. 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. Livingston Manor Inc can be contacted via phone (660) 646-5177, or through Juckette, Hal via phone (660) 646-5177.

Contact Information

Primary practice address
939 E Birch Dr Chillicothe MO 64601-2189
Phone: (660) 646-5177
Fax: (660) 646-5186
Website:
Map and Directions
Authorized official contact:
Name: Juckette, Hal
Phone: (660) 646-5177

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 017795 Missouri

Profile Details

NPI number 1740385228
LBN Legal business name Livingston Manor Inc
DBA Doing business as Livingston Manor Care Center
Authorized official Juckette, Hal
Entity Organization
Organization subpart 1 No
Enumeration date Sep 13th, 2006
Last updated Jul 5th, 2012 - about 12 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 1740385228 NPPES
Missouri MEDICAID 102201902

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