Fulton Manor Inc
Fulton Manor Inc is a healthcare organization registered as Skilled Nursing Facility in Fulton, MO, holding Type 2 (organization) NPI 1659476141 since 2006. The authorized official on file is Hal Juckette, Director of Operations.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1659476141 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Fulton Manor Inc |
| Other name | <Unavail> |
| Practice address | 520 MANOR DR, Fulton, MO, 65251 |
| Phone | 5736426834 |
| Fax | 5736425767 |
| Enumeration date | 2006-09-13 |
| Last updated in NPPES | 2012-07-16 |
Authorized official
| Name | Hal Juckette |
|---|---|
| Title | Director of Operations |
| Phone | 6606465385 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 314000000X | Skilled Nursing Facility | Primary | 015923 | MO |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 107871204 | Medicaid | MO | — |
Copy-ready billing details
Provider: Fulton Manor Inc NPI: 1659476141 Taxonomy: 314000000X (Skilled Nursing Facility) Address: 520 MANOR DR, Fulton, MO, 65251
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1891343166 | Kayla Evans | Individual | Occupational Therapy Assistant | Fulton, MO |
Verify this record
Cross-check NPI 1659476141 against the authoritative CMS record: view Fulton Manor Inc on the official NPPES registry .
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. Read the full guide or validate an NPI number.
Frequently asked questions
Who is the authorized official for Fulton Manor Inc?
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Source: CMS NPPES (public data). Snapshot 2026-07-10. Provider record last updated 2012-07-16.