1. Home
  2. Directory
  3. Georgia
  4. Macon
  5. Residential Treatment Facility Physical Disabilities
  6. NPI Profile

QUENCIE'S MANOR LLC
NPI 1619403805
Residential Treatment Facility, Physical Disabilities in Macon, GA

Active since May 07, 2017
2104 JEFFERSONVILLE RD, MACON, GA 31217(478) 832-5479(478) 239-5148 Get Directions Write a Review

NPPES record last updated: May 7, 2017. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Quencie's Manor Llc NPPES

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

QUENCIE'S MANOR LLC (NPI 1619403805) is a healthcare organization registered as a residential treatment facility, physical disabilities in Macon, Georgia and active in the NPI registry since May 2017. The organization lists Joseph Andrews, Administator, as its authorized official.

NPPES Registry Identity

NPI1619403805
Entity TypeOrganization
Primary Taxonomy320700000X
Legal Business NameQUENCIE'S MANOR LLC
Location Address2104 JEFFERSONVILLE RDMacon, GA 31217-4517
Mailing Address2104 Jeffersonville RdMacon, GA 31217-4517 · (478) 832-5479 · Fax (478) 239-5148
Phone(478) 832-5479
Fax(478) 239-5148
Organization SubpartNo
Authorized OfficialJoseph AndrewsAdministator · (478) 832-5479
Enumeration DateMay 7, 2017
✔ NPI 1619403805 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Physical DisabilitiesResidential Treatment Facilities
Taxonomy Code320700000X
License✔ Licensed in GA · PCH009157
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with physical disabilities and are not able to live independently.
2104 JEFFERSONVILLE RD, Macon, GA 31217
Open in Google Maps ↗

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 Quencie's Manor LLC's NPI number?

The NPI number for Quencie's Manor LLC is 1619403805. It was assigned to this organization in the NPPES registry on May 7, 2017.

Where is Quencie's Manor LLC located?

Quencie's Manor LLC is located at 2104 Jeffersonville Rd, Macon, GA 31217. The listed phone number is (478) 832-5479.

What is Quencie's Manor LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Physical Disabilities with taxonomy code 320700000X.

When was this NPI record last updated?

The NPPES record for Quencie's Manor LLC was last updated on May 7, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.