Countrywood Manor Assisted Living, Inc.
NPI 1104429398 · Assisted Living Facility · Mantachie, MS
Countrywood Manor Assisted Living, Inc. is a Assisted Living Facility organization in Mantachie, MS (NPI 1104429398).
Provider details
- NPI number
- 1104429398
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Kenneth Long, President(662) 401-8930
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
5 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2020-11-19
- Last updated
- 2020-11-19
- Certified
- 2020-11-19
Frequently asked questions
- What is Countrywood Manor Assisted Living, Inc.'s NPI number?
- Countrywood Manor Assisted Living, Inc.'s National Provider Identifier (NPI) is 1104429398, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Countrywood Manor Assisted Living, Inc.?
- Countrywood Manor Assisted Living, Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Countrywood Manor Assisted Living, Inc. located?
- Countrywood Manor Assisted Living, Inc.'s practice location on file with NPPES is 145 Watson Dr, Mantachie, MS 38855-8381.
- What is Countrywood Manor Assisted Living, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Countrywood Manor Assisted Living, Inc. is (662) 282-7808.
- Who is the authorized official for Countrywood Manor Assisted Living, Inc.?
- The authorized official listed on Countrywood Manor Assisted Living, Inc.'s NPPES record is Kenneth Long, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Countrywood Manor Assisted Living, Inc.'s NPI active?
- Yes — Countrywood Manor Assisted Living, Inc.'s NPI (1104429398) is active in the NPPES registry as of the last update on 2020-11-19.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.