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Newly Listed Provider — this NPI profile has been added to the NPI registry within the last 90 days.

GRACIE'S ADULT CARE HOME LLC
NPI 1104745058
Custodial Care Facility - Adult Care Home in Salem, OR

Active since July 14, 2026
326 CARNELIA ST SE, SALEM, OR 97306(971) 239-2000(503) 339-7927 Get Directions Write a Review

NPPES record added: July 14, 2026. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gracie's Adult Care Home Llc NPPES

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

GRACIE'S ADULT CARE HOME LLC (NPI 1104745058) is a healthcare organization registered as an adult care home in Salem, Oregon and active in the NPI registry since July 2026. The organization lists Lisa Elizabeth Brundidge, Owner, as its authorized official.

NPPES Registry Identity

NPI1104745058
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameGRACIE'S ADULT CARE HOME LLC
Location Address326 CARNELIA ST SESalem, OR 97306-2077
Mailing Address4841 Ranger Ave NeSalem, OR 97305-4141 · (971) 239-2000 · Fax (503) 339-7929
Phone(971) 239-2000
Fax(503) 339-7927
Organization SubpartNo
Authorized OfficialLisa Elizabeth BrundidgeOwner · (971) 239-2000
Enumeration DateJuly 14, 2026
NPPES CertifiedJuly 14, 2026
✔ NPI 1104745058 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
326 CARNELIA ST SE, Salem, OR 97306
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

MR. ROLANDO LUIS CHONG MHT2
Home Health Aide
326 CARNELIA ST SE
SALEM, OR 97306
Marion County (503) 581-2418
LISA ELIZABETH BRUNDIDGE
Assisted Living Facility (Assisted Living, Mental Illness)
326 CARNELIA ST SE
SALEM, OR 97306
Marion County (971) 239-2000

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 Gracie's Adult Care Home LLC's NPI number?

The NPI number for Gracie's Adult Care Home LLC is 1104745058. It was assigned to this organization in the NPPES registry on July 14, 2026.

Where is Gracie's Adult Care Home LLC located?

Gracie's Adult Care Home LLC is located at 326 Carnelia St SE, Salem, OR 97306. The listed phone number is (971) 239-2000.

What is Gracie's Adult Care Home LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Gracie's Adult Care Home LLC was last updated on July 14, 2026. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 28 days ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.