Rolla Manor Care Center

LBN: Rolla Manor, Inc.
Rolla Manor Care Center is an health care organization with primary practice located at 1800 White Columns Drive , Rolla MO 65401. 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. Rolla Manor, Inc. can be contacted via phone (573) 364-7766, or through Scheulen, Benjamin C. via phone (573) 556-6240.

Contact Information

Primary practice address
1800 White Columns Drive Rolla MO 65401
Fax: (573) 364-4036
Website:
Authorized official contact:
Name: Scheulen, Benjamin C.

Health care specialties

SpecialtyCodeLicense #State
Nursing & Custodial Care Facilities / Skilled Nursing Facility 314000000X 017746 Missouri

Profile Details

NPI number 1316042898
LBN Legal business name Rolla Manor, Inc.
DBA Doing business as Rolla 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 8 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 1316042898 NPPES
Missouri MEDICAID 102122009

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