Mary Manor II

Primary specialty

Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X

Legal business name

MARY MANOR II

Practice address

501 Bunn St
Zebulon, NC 27597-9177

Phone

(919) 269-3060

Fax

(919) 266-7901

NPI assigned

May 10, 2023

Organization subpart

No

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

Authorized official

Name

Mary McCullers

Title

Owner

Phone

(919) 796-5780

Specialties & licenses 2

Addresses

Tax ID family

Mary Manor II2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

• Mary Manor II

  • Mental Illness Community Based Residential Treatment Facility
  • Zebulon, NC
  • NPI 1821824681
  NPD tax ID

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

{
    "created_epoch": "1683676800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1726012800000",
    "number": "1962192153",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5641 QUAIL COVEY LN",
            "city": "WENDELL",
            "state": "NC",
            "postal_code": "275917901",
            "telephone_number": "919-796-5780",
            "fax_number": "919-266-7901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "501 BUNN ST",
            "city": "ZEBULON",
            "state": "NC",
            "postal_code": "275979177",
            "telephone_number": "919-269-3060",
            "fax_number": "919-266-7901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MARY MANOR II",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-05-10",
        "last_updated": "2024-09-11",
        "certification_date": "2024-09-11",
        "status": "A",
        "authorized_official_last_name": "MCCULLERS",
        "authorized_official_first_name": "MARY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "919-796-5780"
    },
    "taxonomies": [
        {
            "code": "251S00000X",
            "taxonomy_group": "",
            "desc": "Community/Behavioral Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Lacey Mangum-Jones, M.S. CCC-SLP
• Sean Maniuszko, DPT
• Rebekah A Martin, P.T.
• Mary L McCullers-Jackson
• Mary Manor II
• Mary's Manor II
• Henry Lawrence Mascarenhas, DNP
• Juliana Mathews, AUD
• Judy Westbrook Matthews
• Elizabeth Roberts Maynor, CCC-SLP

• Mental Illness Community Based Residential Treatment Facility in Zebulon, NC
• Providers in Zebulon, NC by specialty
• Mental Illness Community Based Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2024; 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.