THE MARY WASHINGTON ASSISTED LIVING HOME, INC
NPI 1003117615
Assisted Living Facility - Assisted Living, Mental Illness in Stone Mountain, GA

Active since November 12, 2010
590 MOUNTAIN OAKS PKWY, STONE MOUNTAIN, GA 30087(770) 469-0155(770) 469-0155 Get Directions Write a Review

NPPES record last updated: November 12, 2010. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About The Mary Washington Assisted Living Home, Inc NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

THE MARY WASHINGTON ASSISTED LIVING HOME, INC (NPI 1003117615) is a healthcare organization registered as an assisted living, mental illness in Stone Mountain, Georgia and active in the NPI registry since November 2010. The organization lists Tawana Gray, Ceo, as its authorized official.

NPPES Registry Identity

NPI1003117615
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NameTHE MARY WASHINGTON ASSISTED LIVING HOME, INC
Location Address590 MOUNTAIN OAKS PKWYStone Mountain, GA 30087-4732
Mailing Address590 Mountain Oaks PkwyStone Mountain, GA 30087-4732 · (770) 469-0155 · Fax (770) 469-0155
Fax(770) 469-0155
Organization SubpartNo
Authorized OfficialTawana GrayCeo · (770) 469-0155
Enumeration DateNovember 12, 2010
NPI 1003117615 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
License Licensed in GA · 044018141
Definition

A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.

Also ListedAssisted Living Facility · Assisted Living, Behavioral DisturbancesTaxonomy 3104A0630X · License 044018141 (GA)
590 MOUNTAIN OAKS PKWY, Stone Mountain, GA 30087

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is The Mary Washington Assisted Living Home, Inc's NPI number?

The NPI number for The Mary Washington Assisted Living Home, Inc is 1003117615. It was assigned to this organization in the NPPES registry on November 12, 2010.

Where is The Mary Washington Assisted Living Home, Inc located?

The Mary Washington Assisted Living Home, Inc is located at 590 Mountain Oaks Pkwy, Stone Mountain, GA 30087. The listed phone number is (770) 469-0155.

What is The Mary Washington Assisted Living Home, Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for The Mary Washington Assisted Living Home, Inc was last updated on November 12, 2010. NPI Profile syncs with the weekly NPPES data releases published by CMS.