Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

Countrywood Manor Assisted Living, Inc.

Assisted Living Facility in Mantachie, MS · enumerated 2020 · authorized official Kenneth Long, President.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1104429398

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Registry record

Entity type Organization (Type 2)

Legal business name Countrywood Manor Assisted Living, Inc.

Practice address 145 Watson Dr, Mantachie, MS, 38855

Phone (662) 282-7808

Fax (662) 282-7738

Enumeration date Nov 19, 2020

Last updated in NPPES Nov 19, 2020

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Kenneth Long

Title President

Phone (662) 401-8930

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Where is Countrywood Manor Assisted Living, Inc. located?

The practice location on file with NPPES is in Mantachie, MS.

How current is this record?

Data comes from the CMS NPPES public dissemination file; this record was last updated in NPPES on 2020-11-19. Verify at npiregistry.cms.hhs.gov.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2020-11-19.