Organization
CARROLL MANOR
Active
Other names
Ascension Living Carroll Manor
Organization subpart
No
Provider details
NPI number
Authorized official
ERIN SHADBOLT (CEO)
(314) 729-3500
Entity
Organization
Contact information
Practice address
725 BUCHANAN ST NE, WASHINGTON, DC 20017-2340
(202) 269-7100
(202) 854-7816
Mailing address
725 BUCHANAN ST NE, WASHINGTON, DC 20017-2340
(202) 269-7100
(202) 854-7816
Taxonomy
Speciality
Code
Description
License number
State
314000000X
Skilled Nursing Facility
Primary
HFD02-0027
DC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
029834200
—
DC
05
—
058490554
—
DC
Enumeration date
01/27/2006
Last updated
06/23/2025
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