NPI age
3 years
Enumerated 2023-02-06
● Active Type 2 · Organization
Willie B Gardner Assisted Living Inc.
Willie B Gardner Assisted Living Inc. is 1 of 519 assisted living facility organizations in Georgia.
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
Mailing address
1262 King Rd
Riverdale, GA 302962952
Authorized official
Shaurina S. Dudley
Ceo
📞 6786639674
Specialties
-
Assisted Living Facility PrimaryA 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.
Other names on file (1)
Doing-business-as, former, and alternate names recorded by NPPES.
-
Willie B Gardner Care Home Inc.
Practice context
Single-site organization. Only one practice location on file.
Provyx · Custom healthcare lists
Need all 519 Assisted Living Facility providers in Georgia?
Provyx verifies the list to your scope. Business emails and direct lines are looked up at delivery, validated, and not stored.
Request a quote →How to verify this organization
- Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
- Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
- Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.