Christopher's Manor Assisted Living, Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

CHRISTOPHER'S MANOR ASSISTED LIVING, INC.

Practice address

885 Highway 178 E
Holly Springs, MS 38635-2641

Phone

(662) 551-1122

NPI assigned

May 8, 2019

Last updated

May 8, 2019By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kenneth Long

Title

President

Phone

(662) 401-8930

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1557273600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1557273600000",
    "number": "1184289894",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 4150",
            "city": "TUPELO",
            "state": "MS",
            "postal_code": "388034150",
            "telephone_number": "662-401-8930",
            "fax_number": "662-401-8930"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "885 HIGHWAY 178 E",
            "city": "HOLLY SPRINGS",
            "state": "MS",
            "postal_code": "386352641",
            "telephone_number": "662-551-1122"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHRISTOPHER'S MANOR ASSISTED LIVING, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-05-08",
        "last_updated": "2019-05-08",
        "status": "A",
        "authorized_official_last_name": "LONG",
        "authorized_official_first_name": "KENNETH",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "662-401-8930"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Meredith S Brown, CCC-SLP
• Robyn Black Caldwell, DNP, FNP-BC
• Latoya Calhoun
• Sharon Denise Campbell
• Donielle Carter
• Christopher's Personal Care Home, LLC
• Keyundra Cole
• Austin Vance Crocker, PHARMD
• Crossroads Healthcare LLC
• Angela Cullens, MSW

• Assisted Living Facility in Holly Springs, MS
• Providers in Holly Springs, MS by specialty
• Assisted Living Facility in Mississippi

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 8, 2019; 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.