CHRISTOPHER'S MANOR ASSISTED LIVING, INC.
NPI 1184289894
Assisted Living Facility in Holly Springs, MS
- Organization
- Assisted Living Facility
- CLIA Number: 25D2202875
- CLIA Cert. Type: Assisted Living Facility
- CLIA Exp. Date: 11-30-2026
About CHRISTOPHER'S MANOR ASSISTED LIVING, INC.
This page provides the complete NPI Profile along with additional information for Christopher's Manor Assisted Living, Inc., a provider established in Holly Springs, Mississippi operating as a Assisted Living Facility. The healthcare provider is registered in the NPI registry with number 1184289894 assigned on May 2019. The practitioner's primary taxonomy code is 310400000X. The provider is registered as an organization and their NPI record was last updated 7 years ago. The authorized official of this NPI record is Kenneth Long (President)
- NPI
- 1184289894 Verify this NPI
- Provider Name
- CHRISTOPHER'S MANOR ASSISTED LIVING, INC.
- Entity Type
- Organization
- Location Address
- 885 HIGHWAY 178 E HOLLY SPRINGS, MS 38635
- Location Phone
- (662) 551-1122
- Mailing Address
- PO BOX 4150 TUPELO, MS 38803
- Mailing Phone
- (662) 401-8930
- Mailing Fax
- (662) 401-8930
- Is Sole Proprietor?
- No
- Is Organization Subpart?
- No
- Enumeration Date
- 05-08-2019
- Last Update Date
- 05-08-2019
- Code Navigator
Location Map
Specialty - Primary Taxonomy
The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.
- Classification
Assisted Living Facility
- Taxonomy Code
- 310400000X
- Type
- Nursing & Custodial Care Facilities
- Taxonomy Description
- 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.
CLIA Information
The Clinical Laboratory Improvement Amendments (CLIA) of 1988 applies to facilities or sites that test human specimens for health assessment or to diagnose, prevent, or treat disease. The CLIA Program sets standards for clinical laboratory testing and issues certificates. The NPI / CLIA crosswalk information for this NPI number is:
- CLIA Number
- 25D2202875
- Facility Type
- Assisted Living Facility
- Certificate Effective Date
- December 01, 2024
- Certificate Expiration Date
- November 30, 2026
- Laboratory Director
- ALLYSON HUDSON
- Certificate Type
- Certificate of Waiver
- Certificate Type Description
- This CLIA certificate is issued to Christopher's Manor Assisted Living, Inc. to perform only waived tests. CLIA defines waived tests as simple tests with a low risk for an incorrect result. Waived tests include certain tests listed in CLIA regulations, tests cleared by the FDA for home use and tests approved by the FDA for waived status and that meet CLIA waiver criteria.
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Other Providers at the Same Location
The following 1 provider is registered at the same or a nearby location.
HOLLY SPRINGS, MS 38635
Frequently Asked Questions
The NPI number assigned to this healthcare provider is 1184289894, enumerated as an "organization" on May 08, 2019.
The provider is located at 885 HIGHWAY 178 E HOLLY SPRINGS, MS 38635 and the phone number is (662) 551-1122.
Assisted Living Facility with taxonomy code 310400000X.
