NPIMap

Organization Active NPI

Stanly Manor

  • Skilled Nursing Facility
  • Albemarle, NC
National Provider Identifier
1518135193
Registry record updated Feb 15, 2008
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
Practice address
625 Bethany Rd
Albemarle, NC 28001-8523
Phone
(704) 982-0770
Fax
(704) 982-1014
NPI assigned
Feb 15, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 15, 2008

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

Authorized official

Name
Mrs. Stephanie 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
7802196OtherNCSPECIAL ASSISTANCE

National Provider Directory

National Provider Directory
Tax ID family
Stanly 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.

NPI Registry JSON

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

{
    "created_epoch": "1203033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1203033600000",
    "number": "1518135193",
    "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",
            "fax_number": "704-982-1014"
        },
        {
            "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",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-02-15",
        "last_updated": "2008-02-15",
        "status": "A",
        "authorized_official_last_name": "HERRIN-HUNEYCUTT",
        "authorized_official_first_name": "STEPHANIE",
        "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": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "SPECIAL ASSISTANCE",
            "identifier": "7802196",
            "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 15, 2008; 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.