COUNTRY MANOR PERSONAL CARE HOME, INC
NPI 1649697442
Assisted Living Facility in Tignall, GA

Q: What is Country Manor Personal Care Home, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

Active since March 19, 2014

173 N HULIN AVE, TIGNALL, GA 30668(706) 285-3070(706) 285-3071 Get Directions Write a Review

NPPES record last updated: March 19, 2014. Verified against the NPPES registry weekly; last sync: August 02, 2026.

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About Country Manor Personal Care Home, Inc NPPES

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

COUNTRY MANOR PERSONAL CARE HOME, INC (NPI 1649697442) is a healthcare organization registered as an assisted living facility in Tignall, Georgia and active in the NPI registry since March 2014. The organization lists Angela Renae Roberson, Owner/ Administrator, as its authorized official.

NPPES Registry Identity

NPI1649697442

Entity TypeOrganization

Primary Taxonomy310400000X

Legal Business NameCOUNTRY MANOR PERSONAL CARE HOME, INC

Location Address173 N HULIN AVETignall, GA 30668-2505

Mailing Address173 N Hulin AveTignall, GA 30668-2505 · (706) 285-3070

Phone(706) 285-3070

Fax(706) 285-3071

Organization SubpartNo

Authorized OfficialAngela Renae RobersonOwner/ Administrator · (706) 285-3070

Enumeration DateMarch 19, 2014

✔ NPI 1649697442 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 · PCH008305

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.

173 N HULIN AVE, Tignall, GA 30668

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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 Country Manor Personal Care Home, Inc's NPI number?

The NPI number for Country Manor Personal Care Home, Inc is 1649697442. It was assigned to this organization in the NPPES registry on March 19, 2014.

Where is Country Manor Personal Care Home, Inc located?

Country Manor Personal Care Home, Inc is located at 173 N Hulin Ave, Tignall, GA 30668. The listed phone number is (706) 285-3070.

What is Country Manor Personal Care Home, 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 Country Manor Personal Care Home, Inc was last updated on March 19, 2014. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 12 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.