GRACEWOOD COMMUNITY SERVICES
NPI 1629146311
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hephzibah, GA

Active since December 01, 2006
3518 SNOWDEN DR, HEPHZIBAH, GA 30815(706) 790-2034 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Gracewood Community Services NPPES

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

GRACEWOOD COMMUNITY SERVICES (NPI 1629146311) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Hephzibah, Georgia and active in the NPI registry since December 2006. The organization lists Gail C Jackson, Regional Hospital Administrator, as its authorized official.

NPPES Registry Identity

NPI1629146311
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameGEORGIA DEPARTMENT OF HUMAN RESOURCES
Location Address3518 SNOWDEN DRHephzibah, GA 30815-6631
Mailing Address100 Myrtle BlvdAugusta, GA 30812-1500 · (706) 790-2030
Organization SubpartNo
Authorized OfficialGail C JacksonRegional Hospital Administrator · (706) 790-2030
Enumeration DateDecember 1, 2006
Last NPPES UpdateAugust 22, 2020
NPI 1629146311 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Taxonomy Code320900000X
Definition

A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.

3518 SNOWDEN DR, Hephzibah, GA 30815

Other Names 1

Doing Business AsGracewood Community Services

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1629146311, enumerated as an "organization" on December 01, 2006.

The provider is located at 3518 SNOWDEN DR HEPHZIBAH, GA 30815 and the phone number is (706) 790-2034.

Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.