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SOUTHERN MANOR SENIOR LIVING, LLC
NPI 1568860393
Assisted Living Facility in Washington, GA

Active since December 10, 2014
184 PINE LN, WASHINGTON, GA 30673(706) 678-3330(706) 678-4440 Get Directions Write a Review

NPPES record last updated: November 13, 2015. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Southern Manor Senior Living, Llc NPPES

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

SOUTHERN MANOR SENIOR LIVING, LLC (NPI 1568860393) is a healthcare organization registered as an assisted living facility in Washington, Georgia and active in the NPI registry since December 2014. The organization lists Debra W. Sherrer, Administrator, as its authorized official.

NPPES Registry Identity

NPI1568860393
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN MANOR SENIOR LIVING, LLC
Location Address184 PINE LNWashington, GA 30673-4035
Mailing Address184 Pine LnWashington, GA 30673-4035 · (706) 678-3330 · Fax (706) 678-4440
Phone(706) 678-3330
Fax(706) 678-4440
Organization SubpartNo
Authorized OfficialDebra W. SherrerAdministrator · (706) 678-3330
Enumeration DateDecember 10, 2014
Last NPPES UpdateNovember 13, 2015
✔ NPI 1568860393 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 GA · PCH008530
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.
184 PINE LN, Washington, GA 30673
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Other Identifiers 2

Medicaid003158657AGA
Medicaid003156697AGA

Other Providers at the Same Location NPPES 2

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

CARING HEARTS HEALTH SERVICES
Assisted Living Facility
184 PINE LN
WASHINGTON, GA 30673
Wilkes County (706) 678-3527
E. M. PORTFOLIOS, LLC
Assisted Living Facility
184 PINE LN
WASHINGTON, GA 30673
Wilkes County (704) 770-6392

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 Senior Living, LLC's NPI number?

The NPI number for Southern Manor Senior Living, LLC is 1568860393. It was assigned to this organization in the NPPES registry on December 10, 2014.

Where is Southern Manor Senior Living, LLC located?

Southern Manor Senior Living, LLC is located at 184 Pine Ln, Washington, GA 30673. The listed phone number is (706) 678-3330.

What is Southern Manor Senior Living, LLC'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 Southern Manor Senior Living, LLC was last updated on November 13, 2015. 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.