P Praxis·MD
● Active Type 2 · Organization

Gracey Manor Llc

Assisted Living Facility·Loganville, GA· NPI 1194033894 · Enumerated 2010 · 15 years on NPI
Gracey Manor Llc is 1 of 519 assisted living facility organizations in Georgia.
NPI age
15 years
Enumerated 2010-09-16
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Blege
On Site Manager
Last NPPES update
2010-09-16
Source: monthly bulk 2026-05

How this organization compares

Across 519 active assisted living facility providers in Georgia.

NPI age
15 years
↑ 3 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2010 → 2026

2010-09Enumerated in NPPES
2010 2026

Where they practice

Primary practice location
3400 Youth Monroe Rd
Loganville, GA 300524327
📞 7704661535
Mailing address
3400 Youth Monroe Rd
Loganville, GA 300524327

Authorized official

Shaundell Blege
On Site Manager
📞 4048897145

Specialties

  • Assisted Living Facility Primary
    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.
    GA license #147010191 taxonomy 310400000X

Practice context

Single-site organization. Only one practice location on file.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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