Martin'S Manor, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

MARTIN'S MANOR, LLC

Doing business as

Martin's Manor, LLC

Practice address

909 Ring Necked CT
Stockbridge, GA 30281-4475

Phone

(678) 499-8308

Fax

(678) 884-5621

NPI assigned

Nov 16, 2021

Organization subpart

No

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

Authorized official

Name

Mr. Dennis P Martin Jr., MPA

Title

Owner/Administrator

Phone

(678) 499-8308

Specialties & licenses 1

Addresses

Other names 1

• Martin's Manor, LLC Doing business as

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

{
    "created_epoch": "1637020800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1640995200000",
    "number": "1639835374",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1740 HUDSON BRIDGE RD",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302816331",
            "telephone_number": "678-499-8308",
            "fax_number": "678-884-5621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "909 RING NECKED CT",
            "city": "STOCKBRIDGE",
            "state": "GA",
            "postal_code": "302814475",
            "telephone_number": "678-499-8308",
            "fax_number": "678-884-5621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARTIN'S MANOR, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-11-16",
        "last_updated": "2022-01-01",
        "certification_date": "2022-01-01",
        "status": "A",
        "authorized_official_last_name": "MARTIN",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "P",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "678-499-8308",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "MPA"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Martin's Manor, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Aniyah Marnice Martin
• Beceka Martin
• Hyanna Martin
• Ronlad P. Martin, DMD
• Sidney Todd Martin
• Carson Heatherly Marvin, DNP, FNP-C
• Issacnette Jeane Mason
• Tiffany Mason
• Alexandria Massey, PT, DPT
• Mastin 4 You Staffing & Health Services LLC

• Home Health Agency in Stockbridge, GA
• Providers in Stockbridge, GA by specialty
• Home Health Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 1, 2022; 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.