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GRACE ASSISTED LIVING OF DOUGLASVILLE, LLC
NPI 1265638910
Point of Service in Douglasville, GA

Active since June 21, 2007
8847 HOSPITAL DR, DOUGLASVILLE, GA 30134(770) 920-2273(770) 489-8173 Get Directions Write a Review

NPPES record last updated: May 13, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Grace Assisted Living Of Douglasville, Llc NPPES

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

GRACE ASSISTED LIVING OF DOUGLASVILLE, LLC (NPI 1265638910) is a healthcare organization registered as a point of service in Douglasville, Georgia and active in the NPI registry since June 2007. The organization lists John Holtz, Controller, as its authorized official.

NPPES Registry Identity

NPI1265638910
Entity TypeOrganization
Primary Taxonomy305S00000X
Legal Business NameGRACE ASSISTED LIVING OF DOUGLASVILLE, LLC
Location Address8847 HOSPITAL DRDouglasville, GA 30134-2267
Mailing Address78 Centennial LoopEugene, OR 97401-7900 · (541) 747-3373 · Fax (541) 747-0673
Phone(770) 920-2273
Fax(770) 489-8173
Organization SubpartNo
Authorized OfficialJohn HoltzController · (541) 747-3373
Enumeration DateJune 21, 2007
Last NPPES UpdateMay 13, 2008
✔ NPI 1265638910 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyPoint of ServiceManaged Care Organizations
Taxonomy Code305S00000X
Definition
This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
8847 HOSPITAL DR, Douglasville, GA 30134
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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 Grace Assisted Living Of Douglasville, LLC's NPI number?

The NPI number for Grace Assisted Living Of Douglasville, LLC is 1265638910. It was assigned to this organization in the NPPES registry on June 21, 2007.

Where is Grace Assisted Living Of Douglasville, LLC located?

Grace Assisted Living Of Douglasville, LLC is located at 8847 Hospital Dr, Douglasville, GA 30134. The listed phone number is (770) 920-2273.

What is Grace Assisted Living Of Douglasville, LLC's specialty?

The primary specialty registered for this NPI is Point of Service with taxonomy code 305S00000X.

When was this NPI record last updated?

The NPPES record for Grace Assisted Living Of Douglasville, LLC was last updated on May 13, 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.