OrganizationActive
South Haven Manor, Inc.
NPI 1811024698 · Adult Care Home Facility · Hertford, NC
South Haven Manor, Inc. is a Adult Care Home Facility organization in Hertford, NC (NPI 1811024698).
Provider details
- NPI number
- 1811024698
- Entity type
- Organization
- Primary specialty
- Adult Care Home FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gretchen Goldman-Owens, Fiscal Agent(434) 848-0294
- License
- HAL-072-006 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(89/100 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
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
114 Nursing Home Rd
Hertford, NC 27944-8879
Phone: (434) 848-0294
Fax: (434) 848-8302
Street-level locationGet directions
Mailing address
114 Nursing Home Rd
Hertford, NC 27944-8879
Registry dates
- Enumerated
- 2007-02-27
- Last updated
- 2020-08-22
Frequently asked questions
- What is South Haven Manor, Inc.'s NPI number?
- South Haven Manor, Inc.'s National Provider Identifier (NPI) is 1811024698, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is South Haven Manor, Inc.?
- South Haven Manor, Inc. is classified in the NPPES registry as Adult Care Home Facility (Nursing & Custodial Care Facilities).
- Where is South Haven Manor, Inc. located?
- South Haven Manor, Inc.'s practice location on file with NPPES is 114 Nursing Home Rd, Hertford, NC 27944-8879.
- What is South Haven Manor, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for South Haven Manor, Inc. is (434) 848-0294.
- Who is the authorized official for South Haven Manor, Inc.?
- The authorized official listed on South Haven Manor, Inc.'s NPPES record is Gretchen Goldman-Owens, Fiscal Agent. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is South Haven Manor, Inc.'s NPI active?
- Yes — South Haven Manor, Inc.'s NPI (1811024698) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.