P Praxis·MD
● Active Type 2 · Organization

Falcon Crest Manor, Llc

Assisted Living Facility·Gordon, GA· NPI 1861763195 · Enumerated 2012 · 14 years on NPI
Falcon Crest Manor, Llc is 1 of 519 assisted living facility organizations in Georgia.
NPI age
14 years
Enumerated 2012-01-18
Primary specialty
Assisted Living Facility
Practice locations
1
0 secondary on file
Status
Active
No deactivations on record
Authorized official
Kindelin
Owner
Last NPPES update
2012-01-18
Source: monthly bulk 2026-05

How this organization compares

Across 519 active assisted living facility providers in Georgia.

NPI age
14 years
↑ 2 yr above median
Practice locations
1
0 secondary on file
Subspecialties
0

NPI lifetime · 2012 → 2026

2012-01Enumerated in NPPES
2012 2026

Where they practice

Primary practice location
111 Epps St
Gordon, GA 310313805
📞 4786281126fax 4786281026
Mailing address
Po Box 100
Gordon, GA 310310100
📞 4786281126fax 4786281026

Authorized official

Phyllis L. Kindelin, RN
Owner
📞 4784564758

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 #158030011 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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