P Praxis·MD
● Active Type 2 · Organization

Willie B Gardner Assisted Living Inc.

Assisted Living Facility·Riverdale, GA· NPI 1710683396 · Enumerated 2023 · 3 years on NPI
Willie B Gardner Assisted Living Inc. is 1 of 519 assisted living facility organizations in Georgia.
NPI age
3 years
Enumerated 2023-02-06
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Dudley
Ceo
Last NPPES update
2023-02-06
Source: monthly bulk 2026-05

How this organization compares

Across 519 active assisted living facility providers in Georgia.

NPI age
3 years
↓ 9 yr below median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2023 → 2026

2023-02Enumerated in NPPES
2023 2026

Where they practice

Primary practice location
1262 King Rd
Riverdale, GA 302962952
📞 6787895174
Mailing address
1262 King Rd
Riverdale, GA 302962952
📞 6787895174

Authorized official

Shaurina S. Dudley
Ceo
📞 6786639674

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.
    taxonomy 310400000X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Willie B Gardner Care Home Inc.
    Type code 3 recorded 2023-02-04

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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