SOUTHERN MANOR REST HOME, INC (NPI# 1417087990) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1417087990 |
| Entity Type | Organization |
| Organization Name | SOUTHERN MANOR REST HOME, INC |
| Practice Address |
390 Hardin Rd Forest City NC 28043-3858 |
| Mailing Address |
Po Box 1574 Forest City NC 28043-1574 |
| Practice Telephone | 8282459596 |
| Enumeration Date | 2007-03-06 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | SEUNG KWAN CHAI (ADMINISTRATOR) |
| Authorized Official Telephone | 8282864749 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 310400000X | Assisted Living Facility | Nursing & Custodial Care Facilities |
| Street Address |
390 HARDIN RD |
| City | FOREST CITY |
| State | NC |
| Zip Code | 28043-3858 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1528475530 | Lori Hammond West | Pharmacist | 139 East Main St, Forest City, NC 28043 | 2014-07-22 |
| 1982989943 | Hope Care Center, Inc. | Assisted Living Facility | 136 Yelton's Circle, Forest City, NC 28043 | 2011-10-20 |
| 1770804643 | Brandi R Holtsclaw | Physical Therapist | 2270 Us Hwy 74a Suite 341, Onesource Rehab, Forest City, NC 28043 | 2010-06-15 |
| 1093944217 | New Start of The Piedmont Inc. | Community/Behavioral Health | 331 South. Broadway Street., Forest City, NC 28043 | 2009-07-09 |
| 1568690493 | Directcare Community Based Services, LLC | Community/Behavioral Health | 129 First Street, Forest City, NC 28043 | 2009-06-30 |
| 1760663058 | Americare Developmental Services | Residential Treatment Facility, Emotionally Disturbed Children | 313 Harrill Rd, Forest City, NC 28043 | 2007-11-15 |
| 1255529038 | Respiratory At Home Plus, Corp. | Durable Medical Equipment & Medical Supplies | 338 Withrow Road, Suite D, Forest City, NC 28043 | 2007-10-05 |
| 1821129362 | K D Support Services / Kelly's Care | Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities | 158 Us Highway 221a, Forest City, NC 28043 | 2007-03-08 |
| 1407986714 | Americas Living Centers LLC | Custodial Care Facility | 128 Country Meadows Lane, Forest City, NC 28043 | 2007-03-06 |
| 1821157256 | Hopewell Care Inc. | Assisted Living Facility | 141 Fox Run, Forest City, NC 28043 | 2006-12-08 |
| Find all providers in zip 28043 | ||||
| Taxonomy Code | 310400000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982989943 | Hope Care Center, Inc. | Assisted Living Facility | 136 Yelton's Circle, Forest City, NC 28043 | 2011-10-20 |
| 1912104423 | Henderson Care Center Inc | Assisted Living Facility | 125 Henderson Cir, Forest City, NC 28043-2584 | 2007-06-28 |
| 1619004314 | Sunnyside Retirement Home | Assisted Living Facility | 1600 Us Highway 221 S, Forest City, NC 28043-7052 | 2007-02-28 |
| 1972668010 | Southern Assisted Living, LLC. | Assisted Living Facility | 493 Piney Ridge Rd, Forest City, NC 28043-9017 | 2006-12-27 |
| 1821157256 | Hopewell Care Inc. | Assisted Living Facility | 141 Fox Run, Forest City, NC 28043 | 2006-12-08 |
| 1184782708 | Open Arms Family Care Home Inc. | Assisted Living Facility | 149 Reid St, Forest City, NC 28043-3591 | 2006-12-05 |
| 1861550253 | Lisa's Family Care Home LLC. | Assisted Living Facility | 542 Forest Lake Rd, Forest City, NC 28043-5112 | 2006-12-05 |
| 1366087744 | Cedar Creek Living LLC | Assisted Living Facility | 2270 Oakland Rd, Forest City, NC 28043-6921 | 2019-11-09 |
| 1770995094 | Fair Haven of Forest City LLC | Assisted Living Facility | 830 Bethany Church Rd, Forest City, NC 28043-8106 | 2014-05-21 |
| 1396004370 | Hope Care Center, Inc. | Assisted Living Facility | 1234 Whitesides Rd, Forest City, NC 28043-7619 | 2012-05-10 |
| Find all providers in FOREST CITY | ||||
| City | FOREST CITY |
| Zip Code | 28043 |
Please comment or provide details below to improve the information on SOUTHERN MANOR REST HOME, INC.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.