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

Holston Manor SNF Operations LLC

Organization Skilled Nursing Facility · NPI 1669136123

Holston Manor SNF Operations LLC is a Skilled Nursing Facility in Kingsport, Tennessee. Registered with an NPI since 2021.

In the registry since
2021
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

3641 Memorial Blvd
Kingsport, TN 37664-3422
Phone: (423) 246-2411
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Skilled Nursing Facility (primary) Taxonomy 314000000X

Record details

NPI number1669136123
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Menucha Goodman — Authorized Official · (732) 268-1810
NPI enumeratedOctober 29, 2021
Last updated in NPPESFebruary 4, 2026
Certification dateFebruary 4, 2026
Mailing address3641 Memorial Blvd, Kingsport, TN 37664-3422

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