ANNADALE MANOR, INC
NPI 1790834323
Intermediate Care Facility, Intellectual Disabilities in Wolfforth, TX

Active since January 10, 2007
10702 COUNTY ROAD 1300, WOLFFORTH, TX 79382(806) 866-9186 Get Directions Write a Review

NPPES record last updated: September 2, 2025. Verified against the NPPES registry weekly; last sync: August 02, 2026.

Record update history: Sep 2, 2025, Sep 9, 2024, Aug 22, 2020 (3 updates tracked since 2020).

About Annadale Manor, Inc NPPES

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

ANNADALE MANOR, INC (NPI 1790834323), doing business as 23rd Manor, is a healthcare organization registered as an intermediate care facility, intellectual disabilities in Wolfforth, Texas and active in the NPI registry since January 2007. The organization maintains a secondary practice location in Lubbock and lists Toni Jennings, Administrator, as its authorized official.

NPPES Registry Identity

NPI1790834323
Entity TypeOrganization
Primary Taxonomy315P00000X
Legal Business NameANNADALE MANOR, INC
Location Address10702 COUNTY ROAD 1300Wolfforth, TX 79382-7006
Mailing AddressPo Box 65725Lubbock, TX 79464-5681 · (806) 441-7798
Organization SubpartNo
Authorized OfficialToni JenningsAdministrator · (806) 441-7798
Enumeration DateJanuary 10, 2007
Last NPPES UpdateSeptember 2, 20253 updates tracked since enumeration
NPPES CertifiedSeptember 9, 2024
NPI 1790834323 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.
10702 COUNTY ROAD 1300, Wolfforth, TX 79382

Other Names 1

Doing Business As23rd Manor

Secondary Practice Location 1

Location 15423 23rd StLubbock, TX 79407-2124 · Phone (806) 441-7798

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 Annadale Manor, Inc's NPI number?

The NPI number for Annadale Manor, Inc is 1790834323. It was assigned to this organization in the NPPES registry on January 10, 2007. The provider is doing business as 23rd Manor.

Where is Annadale Manor, Inc located?

Annadale Manor, Inc is located at 10702 County Road 1300, Wolfforth, TX 79382. The listed phone number is (806) 866-9186.

What is Annadale Manor, Inc's specialty?

The primary specialty registered for this NPI is Intermediate Care Facility, Intellectual Disabilities with taxonomy code 315P00000X.

When was this NPI record last updated?

The NPPES record for Annadale Manor, Inc was last updated on September 2, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 11 months 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.