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

South Haven Manor, Inc

Organization Adult Care Home Facility · NPI 1811024698

South Haven Manor, Inc is an Adult Care Home Facility in Hertford, North Carolina. Licensed in North Carolina. Registered with an NPI since 2007.

Licensed in
NC
In the registry since
2007
What do these letters mean?
Inc — Incorporated
A form of business registration, not a clinical qualification.

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Practice location Address checks out

114 Nursing Home Rd
Hertford, NC 27944-8879
Phone: (434) 848-0294
Fax: (434) 848-8302
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Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Adult Care Home Facility (primary) Taxonomy 311ZA0620X · Licence HAL-072-006 (NC)

Record details

NPI number1811024698
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Gretchen Goldman-Owens — Fiscal Agent · (434) 848-0294
NPI enumeratedFebruary 27, 2007
Last updated in NPPESAugust 22, 2020
Mailing address114 Nursing Home Rd, Hertford, NC 27944-8879

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