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Holston Manor Snf Operations LLC

Skilled Nursing Facility in Kingsport, TN · enumerated 2021 · authorized official Menucha Goodman, Authorized Official.

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

National Provider Identifier

1669136123

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Registry record

Entity type Organization (Type 2)
Legal business name Holston Manor Snf Operations LLC
Practice address 3641 Memorial Blvd, Kingsport, TN, 37664
Phone (423) 246-2411
Enumeration date Oct 29, 2021
Last updated in NPPES Feb 4, 2026

Taxonomy & classification

314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities Primary

Authorized official

Name Menucha Goodman
Title Authorized Official
Phone (732) 268-1810

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.

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Frequently asked questions

Who is the authorized official for Holston Manor Snf Operations LLC?
NPPES lists Menucha Goodman (Authorized Official) as the authorized official for this organization.
What is the NPI number for Holston Manor Snf Operations LLC?
The NPI for Holston Manor Snf Operations LLC is 1669136123, a Type 2 (organization) record in the CMS NPPES registry.

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2026-02-04.