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GRACEY MANOR LLC
NPI 1194033894
Assisted Living Facility in Loganville, GA

Active since September 16, 2010
3400 YOUTH MONROE RD, LOGANVILLE, GA 30052(770) 466-1535 Get Directions Write a Review

NPPES record last updated: September 16, 2010. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Gracey Manor Llc NPPES

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

GRACEY MANOR LLC (NPI 1194033894) is a healthcare organization registered as an assisted living facility in Loganville, Georgia and active in the NPI registry since September 2010. The organization lists Shaundell Blege, On Site Manager, as its authorized official.

NPPES Registry Identity

NPI1194033894
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGRACEY MANOR LLC
Location Address3400 YOUTH MONROE RDLoganville, GA 30052-4327
Mailing Address3400 Youth Monroe RdLoganville, GA 30052-4327
Phone(770) 466-1535
Organization SubpartNo
Authorized OfficialShaundell BlegeOn Site Manager · (404) 889-7145
Enumeration DateSeptember 16, 2010
✔ NPI 1194033894 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 GA · 147010191
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.
3400 YOUTH MONROE RD, Loganville, GA 30052
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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 Gracey Manor LLC's NPI number?

The NPI number for Gracey Manor LLC is 1194033894. It was assigned to this organization in the NPPES registry on September 16, 2010.

Where is Gracey Manor LLC located?

Gracey Manor LLC is located at 3400 Youth Monroe Rd, Loganville, GA 30052. The listed phone number is (770) 466-1535.

What is Gracey Manor LLC'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 Gracey Manor LLC was last updated on September 16, 2010. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 15 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.