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GRACESON MANOR
NPI 1104936103
Assisted Living Facility in Reidsville, NC

Active since August 30, 2006
116 GWYNN DR, REIDSVILLE, NC 27320(336) 349-2806 Get Directions Write a Review

NPPES record last updated: May 20, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Graceson Manor NPPES

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

GRACESON MANOR (NPI 1104936103) is a healthcare organization registered as an assisted living facility in Reidsville, North Carolina and active in the NPI registry since August 2006. The organization lists Brenda L Gwynn, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1104936103
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRACESON MANOR
Location Address116 GWYNN DRReidsville, NC 27320-8710
Mailing Address116 Gwynn DrReidsville, NC 27320-8710 · (336) 349-2806
Phone(336) 349-2806
Organization SubpartNo
Authorized OfficialBrenda L GwynnOwner/administrator · (336) 349-3610
Enumeration DateAugust 30, 2006
Last NPPES UpdateMay 20, 2008
✔ NPI 1104936103 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in NC · FCL-079-054
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
116 GWYNN DR, Reidsville, NC 27320
Open in Google Maps ↗

Other Identifiers 1

Other7805575NC · Eds Number

Other Providers at the Same Location NPPES 5

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

GRACESON MANOR
Assisted Living Facility
116 GWYNN DR
REIDSVILLE, NC 27320
Rockingham County (336) 349-3610
MS. CHRISTY L GWYNN
Assisted Living Facility
116 GWYNN DR
REIDSVILLE, NC 27320
Rockingham County (336) 327-6284
NEW GRACESON MANOR ADULT CARE, LLC
Custodial Care Facility (Adult Care Home)
116 GWYNN DR
REIDSVILLE, NC 27320
Rockingham County (336) 349-3610
NEW GRACESON MANOR ADULT CARE
Custodial Care Facility (Adult Care Home)
116 GWYNN DR
REIDSVILLE, NC 27320
Rockingham County (336) 613-2319
RICE FAMILY CARE, LLC
Custodial Care Facility (Adult Care Home)
116 GWYNN DR
REIDSVILLE, NC 27320
Rockingham County (336) 280-9808

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 Graceson Manor's NPI number?

The NPI number for Graceson Manor is 1104936103. It was assigned to this organization in the NPPES registry on August 30, 2006.

Where is Graceson Manor located?

Graceson Manor is located at 116 Gwynn Dr, Reidsville, NC 27320. The listed phone number is (336) 349-2806.

What is Graceson Manor's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Graceson Manor was last updated on May 20, 2008. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years 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.