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Countryside Manor, Inc

Skilled Nursing Facility in Stokesdale, NC · enumerated 2005 · authorized official Miles Stanleh, Administrator.

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

National Provider Identifier

1992790810

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Registry record

Entity type Organization (Type 2)
Legal business name Countryside Manor, Inc
Practice address 7700 Us Highway 158, Stokesdale, NC, 27357
Phone (336) 643-6301
Fax (336) 643-9906
Enumeration date Sep 16, 2005
Last updated in NPPES Sep 11, 2025

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities · License NH0226 (NC) Secondary
313M00000X Nursing Facility/Intermediate Care Facility Nursing & Custodial Care Facilities · License NH0226 (NC) Secondary
314000000X Skilled Nursing Facility Nursing & Custodial Care Facilities · License NH0226 (NC) Primary

Authorized official

Name Miles Stanleh
Title Administrator
Phone (336) 643-6301

Other identifiers

Identifier Type State Issuer
3415390 Medicaid NC -
3416145 Medicaid NC -

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

What is the NPI number for Countryside Manor, Inc?
The NPI for Countryside Manor, Inc is 1992790810, a Type 2 (organization) record in the CMS NPPES registry.
Who is the authorized official for Countryside Manor, Inc?
NPPES lists Miles Stanleh (Administrator) as the authorized official for this organization.

Providers at this address

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2025-09-11.