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23RD MANOR
NPI 1508248998
Intermediate Care Facility, Intellectual Disabilities in Lubbock, TX

Active since June 23, 2015
5423 23RD ST, LUBBOCK, TX 79407(806) 441-7798 Get Directions Write a Review

NPPES record last updated: September 9, 2024. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About 23rd Manor NPPES

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

23RD MANOR (NPI 1508248998) is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Lubbock, Texas and active in the NPI registry since June 2015. The organization lists Toni Jennings, Administrator, as its authorized official.

NPPES Registry Identity

NPI1508248998
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameANNADALE MANOR, INC
Location Address5423 23RD STLubbock, TX 79407-2124
Mailing AddressPo Box 65725Lubbock, TX 79464-5681
Phone(806) 441-7798
Organization SubpartYes
Authorized OfficialToni JenningsAdministrator · (806) 441-7798
Enumeration DateJune 23, 2015
Last NPPES UpdateSeptember 9, 2024
NPPES CertifiedSeptember 9, 2024
✔ NPI 1508248998 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyIntermediate Care Facility, Intellectual DisabilitiesNursing & Custodial Care Facilities
Taxonomy Code315P00000X
Definition

An intermediate care facility providing services for individuals with intellectual disabilities.

5423 23RD ST, Lubbock, TX 79407
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Other Names 1

Doing Business As23rd Manor

Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

MAE SERVICES LLC
Intermediate Care Facility, Intellectual Disabilities
5423 23RD ST
LUBBOCK, TX 79407
Lubbock County (806) 543-0488

Frequently Asked Questions

What is ANNADALE MANOR, INC's NPI number?

The NPI number assigned to this healthcare provider is 1508248998, enumerated as an "organization" on June 23, 2015.

Where is the provider located?

The provider is located at 5423 23RD ST LUBBOCK, TX 79407 and the phone number is (806) 441-7798.

What is the provider's specialty?

Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.