SOUTHERN MANOR LIVING CENTERS OF LEBANON, LLC
NPI 1891032710
Assisted Living Facility in Lebanon, TN

Active since January 11, 2013
900 COLES FERRY PIKE, LEBANON, TN 37087(615) 443-7929(615) 443-7502 Get Directions Write a Review

NPPES record last updated: January 11, 2013. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Southern Manor Living Centers Of Lebanon, Llc NPPES

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

SOUTHERN MANOR LIVING CENTERS OF LEBANON, LLC (NPI 1891032710) is a healthcare organization registered as an assisted living facility in Lebanon, Tennessee and active in the NPI registry since January 2013. The organization lists Jennifer A Bradshaw, Executive Director, as its authorized official.

NPPES Registry Identity

NPI1891032710
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSOUTHERN MANOR LIVING CENTERS OF LEBANON, LLC
Location Address900 COLES FERRY PIKELebanon, TN 37087-5677
Mailing Address900 Coles Ferry PikeLebanon, TN 37087-5677 · (615) 443-7929 · Fax (615) 443-7502
Fax(615) 443-7502
Organization SubpartNo
Authorized OfficialJennifer A BradshawExecutive Director · (615) 443-7929
Enumeration DateJanuary 11, 2013
NPI 1891032710 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 TN · ACL0000000158
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.

900 COLES FERRY PIKE, Lebanon, TN 37087

Other Providers at the Same Location NPPES

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

Assisted Living Facility
900 COLES FERRY PIKE
LEBANON, TN 37087

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 Living Centers Of Lebanon, LLC's NPI number?

The NPI number for Southern Manor Living Centers Of Lebanon, LLC is 1891032710. It was assigned to this organization in the NPPES registry on January 11, 2013.

Where is Southern Manor Living Centers Of Lebanon, LLC located?

Southern Manor Living Centers Of Lebanon, LLC is located at 900 Coles Ferry Pike, Lebanon, TN 37087. The listed phone number is (615) 443-7929.

What is Southern Manor Living Centers Of Lebanon, 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 Living Centers Of Lebanon, LLC was last updated on January 11, 2013. NPI Profile syncs with the weekly NPPES data releases published by CMS.