Holston Manor Snf Operations LLC
NPI 1669136123 · Skilled Nursing Facility · Kingsport, TN
Enrolled with Medicare as Part a Provider - Skilled Nursing Facility · source: CMS PECOS Public Provider Enrollment (2026.04.01)
Holston Manor Snf Operations LLC is a Skilled Nursing Facility organization in Kingsport, TN (NPI 1669136123).
Provider details
- NPI number
- 1669136123
- Entity type
- Organization
- Primary specialty
- Skilled Nursing FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Menucha Goodman, Authorized Official(732) 268-1810
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
4 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
- 2021-10-29
- Last updated
- 2026-02-04
- Certified
- 2026-02-04
Frequently asked questions
- What is Holston Manor Snf Operations LLC's NPI number?
- Holston Manor Snf Operations LLC's National Provider Identifier (NPI) is 1669136123, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Holston Manor Snf Operations LLC?
- Holston Manor Snf Operations LLC is classified in the NPPES registry as Skilled Nursing Facility (Nursing & Custodial Care Facilities).
- Where is Holston Manor Snf Operations LLC located?
- Holston Manor Snf Operations LLC's practice location on file with NPPES is 3641 Memorial Blvd, Kingsport, TN 37664-3422.
- What is Holston Manor Snf Operations LLC's phone number?
- The practice phone number listed in the NPPES registry for Holston Manor Snf Operations LLC is (423) 246-2411.
- Does Holston Manor Snf Operations LLC accept Medicare?
- Holston Manor Snf Operations LLC is approved to bill Medicare according to CMS PECOS enrollment data (2026.04.01). Confirm current participation with the provider before scheduling.
- Who is the authorized official for Holston Manor Snf Operations LLC?
- The authorized official listed on Holston Manor Snf Operations LLC's NPPES record is Menucha Goodman, Authorized Official. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Holston Manor Snf Operations LLC's NPI active?
- Yes — Holston Manor Snf Operations LLC's NPI (1669136123) is active in the NPPES registry as of the last update on 2026-02-04.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.