Pacific Manor LLC
NPI 1265091755 · Skilled Nursing Facility · Pacific, MO
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Pacific Manor LLC is a Skilled Nursing Facility organization in Pacific, MO (NPI 1265091755).
Provider details
- NPI number
- 1265091755
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Carla Hedrick, Cfo(573) 481-9625
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
7 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Pacific Manor
Registry dates
- Enumerated
- 2019-06-10
- Last updated
- 2025-09-15
- Certified
- 2025-09-15
Frequently asked questions
- What is Pacific Manor LLC's NPI number?
- Pacific Manor LLC's National Provider Identifier (NPI) is 1265091755, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Pacific Manor LLC?
- Pacific Manor LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Pacific Manor LLC located?
- Pacific Manor LLC's practice location on file with NPPES is 105 S 6th St, Pacific, MO 63069-1328.
- What is Pacific Manor LLC's phone number?
- The practice phone number listed in the NPPES registry for Pacific Manor LLC is (636) 271-4222.
- Does Pacific Manor LLC accept Medicare?
- Pacific Manor LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Pacific Manor LLC?
- The authorized official listed on Pacific Manor LLC's NPPES record is Carla Hedrick, Cfo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Pacific Manor LLC's NPI active?
- Yes — Pacific Manor LLC's NPI (1265091755) is active in the NPPES registry as of the last update on 2025-09-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.