Royal Manor, Inc.

Primary specialty

Nursing Facility/Intermediate Care FacilityTaxonomy code 313M00000X

License

100442 Issued in KY

Legal business name

ROYAL MANOR, INC.

Practice address

521 Greene Dr
Greenville, KY 42345-1409

Phone

(270) 338-1541

Fax

(270) 338-4367

NPI assigned

Aug 11, 2006

Last updated

Aug 22, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Muriel D McRoy

Title

Corp Secretary/Treasurer

Phone

(270) 338-1541

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1155254400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1972514206",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 565",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423450565",
            "telephone_number": "270-338-1541",
            "fax_number": "270-338-4367"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "521 GREENE DR",
            "city": "GREENVILLE",
            "state": "KY",
            "postal_code": "423451409",
            "telephone_number": "270-338-1541",
            "fax_number": "270-338-4367"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "ROYAL MANOR, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-11",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "MCROY",
        "authorized_official_first_name": "MURIEL",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "CORP SECRETARY/TREASURER",
        "authorized_official_telephone_number": "270-338-1541"
    },
    "taxonomies": [
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "KY",
            "license": "100442",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "12500310",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Vonna P Probus, MA, LPCA
• Aaron Brook Randolph III
• Ali Raza, M.D.
• Gayl Scott Reader, M.D.
• Jacquelyn Kristen Rice, PHARM.D.
• Jan Myers Scott
• Pamela Shelton
• Roberta A Shelton, OTR
• Stephanie Kay Shelton, COTA
• Alexis Leshe Sherwood

• Nursing Facility/Intermediate Care Facility in Greenville, KY
• Providers in Greenville, KY by specialty
• Nursing Facility/Intermediate Care Facility in Kentucky

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.