CREEKSIDE MANOR ASSISTED LIVING, INC.
NPI 1548614803
Assisted Living Facility in Saltillo, MS

Active since April 22, 2016
200 KNIGHT DR, SALTILLO, MS 38866(662) 869-7009(662) 869-7891 Get Directions Write a Review

NPPES record last updated: April 22, 2016. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Creekside Manor Assisted Living, Inc. NPPES

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

CREEKSIDE MANOR ASSISTED LIVING, INC. (NPI 1548614803) is a healthcare organization registered as an assisted living facility in Saltillo, Mississippi and active in the NPI registry since April 2016. The organization lists Kenneth Long, President, as its authorized official.

NPPES Registry Identity

NPI1548614803
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameCREEKSIDE MANOR ASSISTED LIVING, INC.
Location Address200 KNIGHT DRSaltillo, MS 38866-9182
Mailing AddressPo Box 4150Tupelo, MS 38803-4150 · (662) 322-4636 · Fax (662) 840-3311
Fax(662) 869-7891
Organization SubpartNo
Authorized OfficialKenneth LongPresident · (662) 401-8930
Enumeration DateApril 22, 2016
NPI 1548614803 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 MS · 751
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.
200 KNIGHT DR, Saltillo, MS 38866

Other Providers at the Same Location NPPES 4

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Occupational Therapist
200 KNIGHT DR
SALTILLO, MS 38866
Assisted Living Facility
200 KNIGHT DR
SALTILLO, MS 38866
Custodial Care Facility
200 KNIGHT DR
SALTILLO, MS 38866
Assisted Living Facility
200 KNIGHT DR
SALTILLO, MS 38866

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 Creekside Manor Assisted Living, Inc.'s NPI number?

The NPI number for Creekside Manor Assisted Living, Inc. is 1548614803. It was assigned to this organization in the NPPES registry on April 22, 2016.

Where is Creekside Manor Assisted Living, Inc. located?

Creekside Manor Assisted Living, Inc. is located at 200 Knight Dr, Saltillo, MS 38866. The listed phone number is (662) 869-7009.

What is Creekside Manor Assisted Living, Inc.'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 Creekside Manor Assisted Living, Inc. was last updated on April 22, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.