NPIMap

Organization Active NPI

Bailey Manor

  • Alzheimer Center (Dementia Center)
  • Manchester, TN
National Provider Identifier
1245510940
Registry record updated Aug 25, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
ACL0000000268 Issued in TN
Legal business name
BAILEY MANOR
Practice address
1707 McMinnville Hwy
Manchester, TN 37355-3137
Phone
(931) 728-9045
Fax
(931) 728-9055
NPI assigned
Aug 25, 2011
Last updated
Aug 25, 2011By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 25, 2011

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

Authorized official

Name
Candi Raney, LPN
Title
Facility Director
Phone
(931) 728-9045

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X ACL0000000268 TN Primary

Addresses

Primary practice location

1707 McMinnville Hwy
Manchester, TN 37355-3137

Mailing address

1707 McMinnville Hwy
Manchester, TN 37355-3137
Phone (931) 728-9045

National Provider Directory

National Provider Directory
Tax ID family
Bailey Manor3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

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

Locations

1707 McMinnville Hwy
Manchester, TN 37355
Phone (931) 728-9033

NPI Registry JSON

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

{
    "created_epoch": "1314230400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1314230400000",
    "number": "1245510940",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1707 MCMINNVILLE HWY",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553137",
            "telephone_number": "931-728-9045",
            "fax_number": "931-728-9055"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1707 MCMINNVILLE HWY",
            "city": "MANCHESTER",
            "state": "TN",
            "postal_code": "373553137",
            "telephone_number": "931-728-9045",
            "fax_number": "931-728-9055"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "BAILEY MANOR",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-08-25",
        "last_updated": "2011-08-25",
        "status": "A",
        "authorized_official_last_name": "RANEY",
        "authorized_official_first_name": "CANDI",
        "authorized_official_title_or_position": "FACILITY DIRECTOR",
        "authorized_official_telephone_number": "931-728-9045",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "TN",
            "license": "ACL0000000268",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Manchester, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 25, 2011; 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.