Jackson Manor Healthcare, LLC
NPI 1417662370 · Skilled Nursing Facility · Jackson, MO
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Jackson Manor Healthcare, LLC is a Skilled Nursing Facility organization in Jackson, MO (NPI 1417662370).
Provider details
- NPI number
- 1417662370
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Judah Bienstock, Ceo(314) 631-3000
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
3 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
- Jackson Manor
Registry dates
- Enumerated
- 2023-01-16
- Last updated
- 2023-01-16
- Certified
- 2023-01-16
Frequently asked questions
- What is Jackson Manor Healthcare, LLC's NPI number?
- Jackson Manor Healthcare, LLC's National Provider Identifier (NPI) is 1417662370, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Jackson Manor Healthcare, LLC?
- Jackson Manor Healthcare, LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Jackson Manor Healthcare, LLC located?
- Jackson Manor Healthcare, LLC's practice location on file with NPPES is 710 Broadridge Dr, Jackson, MO 63755-3042.
- What is Jackson Manor Healthcare, LLC's phone number?
- The practice phone number listed in the NPPES registry for Jackson Manor Healthcare, LLC is (573) 243-3101.
- Does Jackson Manor Healthcare, LLC accept Medicare?
- Jackson Manor Healthcare, 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 Jackson Manor Healthcare, LLC?
- The authorized official listed on Jackson Manor Healthcare, LLC's NPPES record is Judah Bienstock, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Jackson Manor Healthcare, LLC's NPI active?
- Yes — Jackson Manor Healthcare, LLC's NPI (1417662370) is active in the NPPES registry as of the last update on 2023-01-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.