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Pacific Manor LLC

Skilled Nursing Facility in Pacific, MO · enumerated 2019 · authorized official Carla Hedrick, Cfo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1265091755

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Registry record

Entity type Organization (Type 2)
Legal business name Pacific Manor LLC
Practice address 105 S 6th St, Pacific, MO, 63069
Fax (636) 257-8131
Enumeration date Jun 10, 2019
Last updated in NPPES Sep 15, 2025

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Carla Hedrick
Title Cfo

Other identifiers

Identifier Type State Issuer
102343001 Medicaid MO -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

How current is this record?
Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2025-09-15. Verify at npiregistry.cms.hhs.gov.
Where is Pacific Manor LLC located?
The practice location on file with NPPES is in Pacific, MO.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-15.