COUNTRY MANOR ASSISTED LIVING
NPI 1235668625
Assisted Living Facility in Dayton, TX

Q: What is Red Beard LLC's NPI number?

The NPI number for Red Beard LLC is 1235668625. It was assigned to this organization in the NPPES registry on June 8, 2017. The provider is doing business as Country Manor Assisted Living.

Q: What is Red Beard LLC's specialty?

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

Q: When was this NPI record last updated?

The NPPES record for Red Beard LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.

Active since June 08, 2017

265 COUNTY ROAD 613, DAYTON, TX 77535(936) 258-6803 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Jun 8, 2017 (2 updates tracked since 2017).

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About Country Manor Assisted Living NPPES

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

COUNTRY MANOR ASSISTED LIVING (NPI 1235668625) is a healthcare organization registered as an assisted living facility in Dayton, Texas and active in the NPI registry since June 2017. The organization lists Rebecca Johnson, Owner/manager, as its authorized official.

NPPES Registry Identity

NPI1235668625

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameRED BEARD LLC

Location Address265 COUNTY ROAD 613Dayton, TX 77535

Mailing Address265 County Road 613Dayton, TX 77535-4325 · (936) 258-6803

Phone(936) 258-6803

Organization SubpartNo

Authorized OfficialRebecca JohnsonOwner/manager · (936) 776-0703

Enumeration DateJune 8, 2017

Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration

✔ NPI 1235668625 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.

265 COUNTY ROAD 613, Dayton, TX 77535

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Other Names 1

Doing Business AsCountry Manor Assisted Living

Other Identifiers 1

Other310400000XTX · Texas Department Of Aging

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 Red Beard LLC's NPI number?

The NPI number for Red Beard LLC is 1235668625. It was assigned to this organization in the NPPES registry on June 8, 2017. The provider is doing business as Country Manor Assisted Living.

Where is Red Beard LLC located?

Red Beard LLC is located at 265 County Road 613, Dayton, TX 77535. The listed phone number is (936) 258-6803.

What is Red Beard 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 Red Beard LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.