NPI age
12 years
Enumerated 2014-03-19
● Active Type 2 · Organization
Country Manor Personal Care Home, Inc
Country Manor Personal Care Home, Inc is 1 of 519 assisted living facility organizations in Georgia.
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Roberson
Owner/ Administrator
Last NPPES update
2014-03-19
Source: monthly bulk 2026-05
How this organization compares
Across 519 active assisted living facility providers in Georgia.
NPI age
12 years
≈ at median (12 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2014 → 2026
2014-03Enumerated in NPPES
2014
2026
Where they practice
Primary practice location
173 N Hulin Ave
Tignall, GA 306682505
Mailing address
173 N Hulin Ave
Tignall, GA 306682505
Authorized official
Angela Renae Roberson, RN
Owner/ Administrator
📞 7062853070
Specialties
-
Assisted Living Facility PrimaryA 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.
Practice context
Single-site organization. Only one practice location on file.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
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- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.