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MANUEL CARL MCKENZIE III
NPI 1356984041
Custodial Care Facility - Adult Care Home in Stone Mountain, GA

Active since October 24, 2019
4893 CANDLEWOOD LN, STONE MOUNTAIN, GA 30088(770) 896-1977 Get Directions Write a Review

NPPES record last updated: October 24, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Manuel Carl Mckenzie Iii NPPES

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

MANUEL CARL MCKENZIE III (NPI 1356984041) is an individual adult care home provider in Stone Mountain, Georgia and active in the NPI registry since October 2019.

NPPES Registry Identity

NPI1356984041
Entity TypeIndividualMale
Primary Taxonomy311ZA0620X
Provider Legal NameMANUEL CARL MCKENZIE III
Location Address4893 CANDLEWOOD LNStone Mountain, GA 30088-1605
Mailing Address4893 Candlewood LnStone Mountain, GA 30088-1605 · (770) 896-1977
Phone(770) 896-1977
Sole ProprietorYes
Enumeration DateOctober 24, 2019
✔ NPI 1356984041 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
4893 CANDLEWOOD LN, Stone Mountain, GA 30088
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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 Manuel Mckenzie's NPI number?

The NPI number for Manuel Mckenzie is 1356984041. It was assigned to this individual provider in the NPPES registry on October 24, 2019.

Where is Manuel Mckenzie located?

Manuel Mckenzie practices at 4893 Candlewood Ln, Stone Mountain, GA 30088. The listed phone number is (770) 896-1977.

What is Manuel Mckenzie's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Manuel Mckenzie was last updated on October 24, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 6 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.