Healthcare Provider Details

I. General information

NPI: 1831225259
Provider Name (Legal Business Name): ELSBERRY MISSOURI HEALTH CARE CENTER, INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 05/12/2025
Certification Date: 05/12/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1827 HWY B
ELSBERRY MO
63343
US

IV. Provider business mailing address

1827 HWY B
ELSBERRY MO
63343
US

V. Phone/Fax

Practice location:
  • Phone: 573-898-2880
  • Fax: 573-898-5004
Mailing address:
  • Phone: 573-898-2880
  • Fax: 573-898-5004

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code314000000X
TaxonomySkilled Nursing Facility
License Number036036
License Number StateMO

VIII. Authorized Official

Name: MRS. CHRISTINA M KUNTZ
Title or Position: ADMINISTRATOR
Credential: RN, LNHA
Phone: 573-898-2880