The Mary Washington Assisted Living Home, Inc
NPI 1003117615 · Assisted Living Facility (Mental Illness) · Stone Mountain, GA
The Mary Washington Assisted Living Home, Inc is a Assisted Living Facility (Mental Illness) organization in Stone Mountain, GA (NPI 1003117615).
Provider details
- NPI number
- 1003117615
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Mental Illness)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Tawana Gray, Ceo(770) 469-0155
- License
- 044018141 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
15 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2010-11-12
- Last updated
- 2010-11-12
Frequently asked questions
- What is The Mary Washington Assisted Living Home, Inc's NPI number?
- The Mary Washington Assisted Living Home, Inc's National Provider Identifier (NPI) is 1003117615, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is The Mary Washington Assisted Living Home, Inc?
- The Mary Washington Assisted Living Home, Inc is classified in the NPPES registry as Assisted Living Facility (Mental Illness) (Nursing & Custodial Care Facilities).
- Where is The Mary Washington Assisted Living Home, Inc located?
- The Mary Washington Assisted Living Home, Inc's practice location on file with NPPES is 590 Mountain Oaks Pkwy, Stone Mountain, GA 30087-4732.
- What is The Mary Washington Assisted Living Home, Inc's phone number?
- The practice phone number listed in the NPPES registry for The Mary Washington Assisted Living Home, Inc is (770) 469-0155.
- Who is the authorized official for The Mary Washington Assisted Living Home, Inc?
- The authorized official listed on The Mary Washington Assisted Living Home, Inc's NPPES record is Tawana Gray, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is The Mary Washington Assisted Living Home, Inc's NPI active?
- Yes — The Mary Washington Assisted Living Home, Inc's NPI (1003117615) is active in the NPPES registry as of the last update on 2010-11-12.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.