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ANN'S COUNTRY MANOR
NPI 1558776948
Community/Behavioral Health in Raleigh, NC

Active since June 25, 2014
5312 SIX FORKS RD STE 301, RALEIGH, NC 27609(919) 790-7663(919) 790-6990 Get Directions Write a Review

NPPES record last updated: March 8, 2021. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Ann's Country Manor NPPES

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

ANN'S COUNTRY MANOR (NPI 1558776948) is a healthcare organization registered as a community/behavioral health in Raleigh, North Carolina and active in the NPI registry since June 2014. The organization lists Sandra Mayo, Coo, as its authorized official.

NPPES Registry Identity

NPI1558776948
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameANN'S COUNTRY MANOR
Location Address5312 SIX FORKS RD STE 301Raleigh, NC 27609-4458
Mailing Address105 Avery StGarner, NC 27529-3133
Phone(919) 790-7663
Fax(919) 790-6990
Organization SubpartYesParent: Crandells Enterprises
Authorized OfficialSandra MayoCoo · (919) 790-7663
Enumeration DateJune 25, 2014
Last NPPES UpdateMarch 8, 2021
NPPES CertifiedMarch 8, 2021
✔ NPI 1558776948 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
License✔ Licensed in NC · MHL-092-861
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
5312 SIX FORKS RD STE 301, Raleigh, NC 27609
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Other Identifiers 1

Medicaid7804626NC

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.

ABOVE THE HORIZON HOME CARE LLC
Home Health
5312 SIX FORKS RD STE 301
RALEIGH, NC 27609
Wake County (919) 633-2499
JAMILAH MCCLAIN LCSW
Social Worker (Clinical)
5312 SIX FORKS RD STE 301
RALEIGH, NC 27609
Wake County (919) 790-7663
SONDRA H SOLOMON APMHNP
Nurse Practitioner (Psychiatric/Mental Health)
5312 SIX FORKS RD STE 301
RALEIGH, NC 27609
Wake County (091) 979-0766
MS. KEISHA J BLOUNT MA,LCAS,CCS
Counselor (Addiction (Substance Use Disorder))
5312 SIX FORKS RD STE 301
RALEIGH, NC 27609
Wake County (984) 444-4741

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 Ann's Country Manor's NPI number?

The NPI number for Ann's Country Manor is 1558776948. It was assigned to this organization in the NPPES registry on June 25, 2014.

Where is Ann's Country Manor located?

Ann's Country Manor is located at 5312 Six Forks Rd Ste 301, Raleigh, NC 27609. The listed phone number is (919) 790-7663.

What is Ann's Country Manor's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Ann's Country Manor was last updated on March 8, 2021. 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.