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PLANTATION MANOR
NPI 1114248663
Assisted Living Facility in Thomasville, GA

Active since June 18, 2010
220 PARK AVE, THOMASVILLE, GA 31792(229) 227-0880(229) 227-1217 Get Directions Write a Review

NPPES record last updated: June 18, 2010. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Plantation Manor NPPES

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

PLANTATION MANOR (NPI 1114248663) is a healthcare organization registered as an assisted living facility in Thomasville, Georgia and active in the NPI registry since June 2010. The organization lists Gary Blake, Managing Member, as its authorized official.

NPPES Registry Identity

NPI1114248663
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTHOMASVILLE I ENTERPRISES, LLC
Location Address220 PARK AVEThomasville, GA 31792-6145
Mailing Address220 Park AveThomasville, GA 31792-6145 · (229) 227-0880 · Fax (229) 227-1217
Phone(229) 227-0880
Fax(229) 227-1217
Organization SubpartNo
Authorized OfficialGary BlakeManaging Member · (817) 348-8841
Enumeration DateJune 18, 2010
✔ NPI 1114248663 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
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.
220 PARK AVE, Thomasville, GA 31792
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Other Names 1

Doing Business AsPlantation Manor

Other Providers at the Same Location NPPES 2

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

CATHERINE NIPPER COTA
Occupational Therapy Assistant
220 PARK AVE
THOMASVILLE, GA 31792
Thomas County (229) 227-0880
EMILY GREENE DPT
Physical Therapist
220 PARK AVE
THOMASVILLE, GA 31792
Thomas County (229) 227-0880

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 Thomasville I Enterprises, LLC's NPI number?

The NPI number for Thomasville I Enterprises, LLC is 1114248663. It was assigned to this organization in the NPPES registry on June 18, 2010. The provider is doing business as Plantation Manor.

Where is Thomasville I Enterprises, LLC located?

Thomasville I Enterprises, LLC is located at 220 Park Ave, Thomasville, GA 31792. The listed phone number is (229) 227-0880.

What is Thomasville I Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Thomasville I Enterprises, LLC was last updated on June 18, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 16 years 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.