OrganizationActive
Annadale Manor, Inc
NPI 1790834323 · Intellectual Disabilities Intermediate Care Facility · Wolfforth, TX
Provider details
- NPI number
- 1790834323
- Entity type
- Organization
- Primary specialty
- Intellectual Disabilities Intermediate Care FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Toni Jennings, Administrator(806) 441-7798
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(94/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
10702 County Road 1300
Wolfforth, TX 79382-7006
Phone: (806) 866-9186
Street-level locationGet directions
Mailing address
Po Box 65725
Lubbock, TX 79464-5681
Other names (DBA / former)
- Doing business as
- 23rd Manor
Additional practice locations (1)
- 5423 23rd StLubbock, TX 79407-2124Phone: (806) 441-7798
Registry dates
- Enumerated
- 2007-01-10
- Last updated
- 2025-09-02
- Certified
- 2024-09-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.