Southern Manor Living Centers, LLC
NPI 1619274644 · Assisted Living Facility · Fayetteville, TN
Southern Manor Living Centers, LLC is a Assisted Living Facility organization in Fayetteville, TN (NPI 1619274644).
Provider details
- NPI number
- 1619274644
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Cheryl Pendergrass, Executive Director(931) 433-5000
- License
- ACL0000000215 (TN)
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
15 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
- 2011-02-28
- Last updated
- 2011-02-28
Frequently asked questions
- What is Southern Manor Living Centers, LLC's NPI number?
- Southern Manor Living Centers, LLC's National Provider Identifier (NPI) is 1619274644, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Southern Manor Living Centers, LLC?
- Southern Manor Living Centers, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Southern Manor Living Centers, LLC located?
- Southern Manor Living Centers, LLC's practice location on file with NPPES is 115 Medical Center Blvd, Fayetteville, TN 37334-2689.
- What is Southern Manor Living Centers, LLC's phone number?
- The practice phone number listed in the NPPES registry for Southern Manor Living Centers, LLC is (931) 433-5000.
- Who is the authorized official for Southern Manor Living Centers, LLC?
- The authorized official listed on Southern Manor Living Centers, LLC's NPPES record is Cheryl Pendergrass, Executive Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Southern Manor Living Centers, LLC's NPI active?
- Yes — Southern Manor Living Centers, LLC's NPI (1619274644) is active in the NPPES registry as of the last update on 2011-02-28.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.