Southern Manor Living Centers of Lebanon, LLC
NPI 1891032710ActiveOrganization· Assisted Living Facility· Lebanon, TN
Assisted Living Facility in Lebanon, Tennessee, registered in NPPES in January 2013. The authorized official on file is Jennifer A. Bradshaw, LPN, Executive Director.
Overview
| NPI | 1891032710 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Jan 11, 2013 |
| Last updated in NPPES | Jan 11, 2013 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | ACL0000000158 | TN |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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