Countryside Manor, Inc

Primary specialty

Skilled Nursing FacilityTaxonomy code 314000000X

License

NH0226 Issued in NC

Legal business name

COUNTRYSIDE MANOR, INC

Practice address

7700 US Highway 158
Stokesdale, NC 27357-9346

Phone

(336) 643-6301

Fax

(336) 643-9906

NPI assigned

Sep 16, 2005

Organization subpart

No

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

Authorized official

Name

Miles E Stanleh

Title

Administrator

Phone

(336) 643-6301

Specialties & licenses 3

Addresses

Other identifiers 2

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

{
    "created_epoch": "1126828800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1757548800000",
    "number": "1992790810",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7700 US HIGHWAY 158",
            "address_2": "PO BOX 829",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273579346",
            "telephone_number": "336-643-6301",
            "fax_number": "336-643-9906"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7700 US HIGHWAY 158",
            "city": "STOKESDALE",
            "state": "NC",
            "postal_code": "273579346",
            "telephone_number": "336-643-6301",
            "fax_number": "336-643-9906"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "COUNTRYSIDE MANOR, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-09-16",
        "last_updated": "2025-09-11",
        "status": "A",
        "authorized_official_last_name": "STANLEH",
        "authorized_official_first_name": "MILES",
        "authorized_official_middle_name": "E",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "336-643-6301"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "NH0226",
            "primary": false
        },
        {
            "code": "313M00000X",
            "taxonomy_group": "",
            "desc": "Nursing Facility/Intermediate Care Facility",
            "state": "NC",
            "license": "NH0226",
            "primary": false
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "NC",
            "license": "NH0226",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3415390",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3416145",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Ana Baynes
• Helina Chan, MA CCC/SLP
• Katherine Sue Clark, APRN
• Chandler Quintessence Combs, PHARMD, RPH
• Compass Healthcare and Rehab Guilford, LLC
• Morgan Kelley Cribb, OTR/L
• Cronin Chiropractic and Acupuncture Clinic
• David M Kaplan Gen PTR
• Dexmar Transportation Service LLC
• Stefanie Alexis Dubicki, PA-C

• Skilled Nursing Facility in Stokesdale, NC
• Providers in Stokesdale, NC by specialty
• Skilled Nursing Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 11, 2025; 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.