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FALCON CREST MANOR, LLC
NPI 1861763195
Assisted Living Facility in Gordon, GA

Active since January 18, 2012
111 EPPS ST, GORDON, GA 31031(478) 628-1126(478) 628-1026 Get Directions Write a Review

NPPES record last updated: January 18, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Falcon Crest Manor, Llc NPPES

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

FALCON CREST MANOR, LLC (NPI 1861763195) is a healthcare organization registered as an assisted living facility in Gordon, Georgia and active in the NPI registry since January 2012. The organization lists Phyllis L. Kindelin, Owner, as its authorized official.

NPPES Registry Identity

NPI1861763195
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFALCON CREST MANOR, LLC
Location Address111 EPPS STGordon, GA 31031-3805
Mailing AddressPo Box 100Gordon, GA 31031-0100 · (478) 628-1126 · Fax (478) 628-1026
Phone(478) 628-1126
Fax(478) 628-1026
Organization SubpartNo
Authorized OfficialPhyllis L. KindelinOwner · (478) 456-4758
Enumeration DateJanuary 18, 2012
✔ NPI 1861763195 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 · 158030011
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.
111 EPPS ST, Gordon, GA 31031
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Other Providers at the Same Location NPPES

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

WALK IN WELLNESS LLC
Clinic/Center (Recovery Care)
111 EPPS ST
GORDON, GA 31031
Wilkinson County (678) 437-1388

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 Falcon Crest Manor, LLC's NPI number?

The NPI number for Falcon Crest Manor, LLC is 1861763195. It was assigned to this organization in the NPPES registry on January 18, 2012.

Where is Falcon Crest Manor, LLC located?

Falcon Crest Manor, LLC is located at 111 Epps St, Gordon, GA 31031. The listed phone number is (478) 628-1126.

What is Falcon Crest 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 Falcon Crest Manor, LLC was last updated on January 18, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.