SOUTHERN MANOR REST HOME, INC.
NPI 1417087990
Custodial Care Facility - Adult Care Home in Rutherfordton, NC

Q: What is Southern Manor Rest Home, Inc.'s NPI number?

The NPI number for Southern Manor Rest Home, Inc. is 1417087990. It was assigned to this organization in the NPPES registry on March 6, 2007.

Q: What is Southern Manor Rest Home, Inc.'s specialty?

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

Active since March 06, 2007

521 DAVENPORT RD, RUTHERFORDTON, NC 28139(909) 894-9185 Get Directions Write a Review

NPPES record last updated: December 13, 2024. Verified against the NPPES registry weekly; last sync: November 08, 2026.

Record update history: Dec 13, 2024, Aug 22, 2020 (2 updates tracked since 2020).

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About Southern Manor Rest Home, Inc. NPPES

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

SOUTHERN MANOR REST HOME, INC. (NPI 1417087990) is a healthcare organization registered as an adult care home in Rutherfordton, North Carolina and active in the NPI registry since March 2007. The organization lists Seung Kwan Chai, President/administrator, as its authorized official.

NPPES Registry Identity

NPI1417087990

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameSOUTHERN MANOR REST HOME, INC.

Location Address521 DAVENPORT RDRutherfordton, NC 28139

Mailing AddressPo Box 73Collegedale, TN 37315-0073 · (909) 894-9185

Phone(909) 894-9185

Organization SubpartNo

Authorized OfficialSeung Kwan ChaiPresident/administrator · (909) 894-9185

Enumeration DateMarch 6, 2007

Last NPPES UpdateDecember 13, 20242 updates tracked since enumeration

✔ NPI 1417087990 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ 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.

Also ListedAssisted Living FacilityTaxonomy 310400000X

521 DAVENPORT RD, Rutherfordton, NC 28139

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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 Southern Manor Rest Home, Inc.'s NPI number?

The NPI number for Southern Manor Rest Home, Inc. is 1417087990. It was assigned to this organization in the NPPES registry on March 6, 2007.

Where is Southern Manor Rest Home, Inc. located?

Southern Manor Rest Home, Inc. is located at 521 Davenport Rd, Rutherfordton, NC 28139. The listed phone number is (909) 894-9185.

What is Southern Manor Rest Home, Inc.'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 Southern Manor Rest Home, Inc. was last updated on December 13, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 22 months 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.