P Praxis·MD
● Active Type 2 · Organization

Annadale Manor, Inc

Intermediate Care Facility, Intellectual Disabilities·Wolfforth, TX· NPI 1790834323 · Enumerated 2007 · 19 years on NPI
Annadale Manor, Inc is 1 of 737 intermediate care facility, intellectual disabilities organizations in Texas.
NPI age
19 years
Enumerated 2007-01-10
Primary specialty
Intermediate Care Facility, Intellectual Disabilities
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Jennings
Administrator
Last NPPES update
2025-09-02
Source: monthly bulk 2026-05

How this organization compares

Across 737 active intermediate care facility, intellectual disabilities providers in Texas.

NPI age
19 years
≈ at median (19 yr)
Practice locations
2
1 secondary on file
Subspecialties
0

NPI lifetime · 2007 → 2026

2007-01Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
10702 County Road 1300
Wolfforth, TX 793827006
📞 8068669186
Mailing address
Po Box 65725
Lubbock, TX 794645681
📞 8064417798

Additional practice locations

1 secondary location on file with NPPES.

Location 2
5423 23rd St
Lubbock, TX 794072124
📞 8064417798

Authorized official

Toni Jennings
Administrator
📞 8064417798

Specialties

  • Intermediate Care Facility, Intellectual Disabilities Primary
    An intermediate care facility providing services for individuals with intellectual disabilities.
    taxonomy 315P00000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • 23rd Manor
    Type code 3 recorded 2024-09-09

Practice context

Multi-site organization. 1 additional practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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