Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Countryside Manor, Inc

Organization Assisted Living Facility · NPI 1992790810

Countryside Manor, Inc is an Assisted Living Facility in Stokesdale, North Carolina. Licensed in North Carolina. Registered with an NPI since 2005.

Licensed in
NC
In the registry since
2005
Specialties on file
3
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

See every abbreviation used in this directory →

Practice location Address checks out

7700 US Highway 158
Stokesdale, NC 27357-9346
Phone: (336) 643-6301
Fax: (336) 643-9906
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X · Licence NH0226 (NC)
Assisted Living Facility Taxonomy 310400000X · Licence NH0226 (NC)
Nursing Facility/Intermediate Care Facility Taxonomy 313M00000X · Licence NH0226 (NC)

Record details

NPI number1992790810
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Miles Stanleh — Administrator · (336) 643-6301
NPI enumeratedSeptember 16, 2005
Last updated in NPPESSeptember 11, 2025
Mailing address7700 Us Highway 158, Po Box 829, Stokesdale, NC 27357-9346