The Manor

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

C1300201277 Issued in MI

Legal business name

THE MANOR

Practice address

115 East St
Jonesville, MI 49250-1007

Phone

(517) 849-2151

Fax

(517) 849-2880

NPI assigned

Jan 18, 2007

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mr. Fred Prasser, ACSW

Title

President and Ceo

Phone

(517) 849-2151

Specialties & licenses 1

Addresses

Other identifiers 2

Tax ID family

Francis C Pasley5 organizations share this tax ID, including this one

Other organizations with this tax ID 4

Organizations that report the same tax identification number in the National Provider Directory.

• The Manor

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Jonesville, MI
  • NPI 1184677254
  NPD tax ID
• The Manor

  • Developmentally Disabled Services Day Training Agency
  • Jonesville, MI
  • NPI 1366495582
  NPD tax ID
• The Manor

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Jonesville, MI
  • NPI 1588743546
  NPD tax ID
• The Manor

  • Developmentally Disabled Services Day Training Agency
  • Jonesville, MI
  • NPI 1841241452
  NPD tax ID

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1169078400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1043363898",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "115 EAST ST",
            "address_2": "P.O. BOX 98",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501007",
            "telephone_number": "517-849-2151",
            "fax_number": "517-849-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "115 EAST ST",
            "city": "JONESVILLE",
            "state": "MI",
            "postal_code": "492501007",
            "telephone_number": "517-849-2151",
            "fax_number": "517-849-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-01-18",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "PRASSER",
        "authorized_official_first_name": "FRED",
        "authorized_official_title_or_position": "PRESIDENT AND CEO",
        "authorized_official_telephone_number": "517-849-2151",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "ACSW"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "MI",
            "license": "C1300201277",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PROVIDER NUMBER",
            "identifier": "6356654",
            "state": "MI"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "LICENSE NUMBER",
            "identifier": "C1300201277",
            "state": "MI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Anthony Joseph Smith, O.D.
• Smith'S Family Eye Care
• James Lester Steveson Jr., D.C.
• Matthew Studer
• Rachel Loye Stump, F.N.P.
• The Manor
• The Manor
• The Manor
• The Manor
• Kayla L Tocco

• All providers in Jonesville, MI
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Michigan

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.