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CHRISTIAN COUNTY MANOR I LLC
NPI 1013720291
Assisted Living Facility - Assisted Living, Mental Illness in Hopkinsville, KY

Active since January 30, 2025
2820 RICHARD ST, HOPKINSVILLE, KY 42240(516) 708-3503 Get Directions Write a Review

NPPES record last updated: January 30, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Christian County Manor I Llc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

CHRISTIAN COUNTY MANOR I LLC (NPI 1013720291) is a healthcare organization registered as an assisted living, mental illness in Hopkinsville, Kentucky and active in the NPI registry since January 2025. The organization lists Raquel Edery, Coo, as its authorized official.

NPPES Registry Identity

NPI1013720291
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameCHRISTIAN COUNTY MANOR I LLC
Location Address2820 RICHARD STHopkinsville, KY 42240-1670
Mailing Address455 Central Ave Ste 215Cedarhurst, NY 11516-2008 · (516) 708-3503
Phone(516) 708-3503
Organization SubpartNo
Authorized OfficialRaquel EderyCoo · (516) 708-3503
Enumeration DateJanuary 30, 2025
NPPES CertifiedJanuary 30, 2025
✔ NPI 1013720291 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
2820 RICHARD ST, Hopkinsville, KY 42240
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Other Providers at the Same Location NPPES 3

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

S&R ENTERPRISES INC.
Custodial Care Facility (Adult Care Home)
2820 RICHARD ST
HOPKINSVILLE, KY 42240
Christian County (270) 338-1541
CHRISIAN COUNY MANOR LLC
Custodial Care Facility
2820 RICHARD ST
HOPKINSVILLE, KY 42240
Christian County (270) 886-9900
CHRISTIAN COUNTY MANOR, LLC
Custodial Care Facility (Adult Care Home)
2820 RICHARD ST
HOPKINSVILLE, KY 42240
Christian County (270) 886-9900

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Christian County Manor I LLC's NPI number?

The NPI number for Christian County Manor I LLC is 1013720291. It was assigned to this organization in the NPPES registry on January 30, 2025.

Where is Christian County Manor I LLC located?

Christian County Manor I LLC is located at 2820 Richard St, Hopkinsville, KY 42240. The listed phone number is (516) 708-3503.

What is Christian County Manor I LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Christian County Manor I LLC was last updated on January 30, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 months ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.