Organization Active NPI

Stanly Manor Inc.

  • Skilled Nursing Facility
  • Albemarle, NC
National Provider Identifier
1396740635
Registry record updated Feb 13, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Skilled Nursing FacilityTaxonomy code 314000000X
License
NH0464 Issued in NC
Legal business name
STANLY MANOR INC.
Practice address
625 Bethany Rd
Albemarle, NC 28001-8523
Phone
(704) 982-0770
Fax
(704) 982-1014
NPI assigned
Jun 14, 2005
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 13, 2009

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

Authorized official

Name
Mrs. Stephanie S Herrin-Huneycutt
Title
Administrator
Phone
(704) 982-0770

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Skilled Nursing Facility 314000000X NH0464 NC Primary

Addresses

Primary practice location

625 Bethany Rd
Albemarle, NC 28001-8523

Mailing address

625 Bethany Rd
Albemarle, NC 28001-8523
Phone (704) 982-0770

Other identifiers 1

IdentifierTypeStateIssuer
3415281MedicaidNC

National Provider Directory

National Provider Directory

Member of 1

Organizations this organization is a member of, according to the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1118707200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1234483200000",
    "number": "1396740635",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "625 BETHANY RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018523",
            "telephone_number": "704-982-0770"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "625 BETHANY RD",
            "city": "ALBEMARLE",
            "state": "NC",
            "postal_code": "280018523",
            "telephone_number": "704-982-0770",
            "fax_number": "704-982-1014"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "STANLY MANOR INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-14",
        "last_updated": "2009-02-13",
        "status": "A",
        "authorized_official_last_name": "HERRIN-HUNEYCUTT",
        "authorized_official_first_name": "STEPHANIE",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "704-982-0770",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0464",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415281",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Albemarle, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 13, 2009; 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.