NPI age
19 years
Enumerated 2006-08-14
● Active Type 2 · Organization
St. Joseph Manor
St. Joseph Manor is 1 of 201 nursing facility/intermediate care facility organizations in Texas.
Primary specialty
Nursing Facility/Intermediate Care Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Cottrell
Executive Director/administrator
Last NPPES update
2008-04-09
Source: monthly bulk 2026-05
How this organization compares
Across 201 active nursing facility/intermediate care facility providers in Texas.
NPI age
19 years
≈ at median (19 yr)
Practice locations
1
0 secondary on file
Subspecialties
0
NPI lifetime · 2006 → 2026
2006-08Enumerated in NPPES
2006
2026
Where they practice
Primary practice location
2333 Manor Drive
Bryan, TX 778021907
Mailing address
2333 Manor Drive
Bryan, TX 778021907
Authorized official
Harold Cottrell
Executive Director/administrator
📞 9798217330
Individual providers at this organization
1 individual provider on file at this primary practice address.
- Latasha Tates, PTA Physical Therapy Assistant NPI 1417299983
Specialties
-
Nursing Facility/Intermediate Care Facility PrimaryAn institution (or a distinct part of an institution) which- (1) is primarily engaged in providing to residents- (A) skilled nursing care and related services for residents who require medical or nursing care, (B) rehabilitation...
Identifiers
| Type | Value | Notes |
|---|---|---|
| 05 (TX) | 001000504 |
Practice context
Multi-provider organization. 1 individual provider on file at this primary address.
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- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.