1. Home
  2. Directory
  3. Texas
  4. Pittsburg
  5. Assisted Living Facility
  6. NPI Profile

JAMES W WALLACE DBA SOUTHERN WIND MANOR
NPI 1407997380
Assisted Living Facility in Pittsburg, TX

Active since February 12, 2007
618 QUITMAN ST, PITTSBURG, TX 75686(903) 855-1555(903) 855-1585 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About James W Wallace Dba Southern Wind Manor NPPES

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

JAMES W WALLACE DBA SOUTHERN WIND MANOR (NPI 1407997380) is a healthcare organization registered as an assisted living facility in Pittsburg, Texas and active in the NPI registry since February 2007. The organization lists Melissa Dyer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1407997380
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameJAMES W WALLACE DBA SOUTHERN WIND MANOR
Location Address618 QUITMAN STPittsburg, TX 75686-1086
Mailing Address618 Quitman StPittsburg, TX 75686-1086 · (903) 855-1555 · Fax (903) 855-1585
Phone(903) 855-1555
Fax(903) 855-1585
Organization SubpartNo
Authorized OfficialMelissa DyerAdministrator · (903) 855-1555
Enumeration DateFebruary 12, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1407997380 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in TX · 118382
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.
618 QUITMAN ST, Pittsburg, TX 75686
Open in Google Maps ↗

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 James W Wallace Dba Southern Wind Manor's NPI number?

The NPI number for James W Wallace Dba Southern Wind Manor is 1407997380. It was assigned to this organization in the NPPES registry on February 12, 2007.

Where is James W Wallace Dba Southern Wind Manor located?

James W Wallace Dba Southern Wind Manor is located at 618 Quitman St, Pittsburg, TX 75686. The listed phone number is (903) 855-1555.

What is James W Wallace Dba Southern Wind Manor'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 James W Wallace Dba Southern Wind Manor was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.