OrganizationActive
Graceson Manor
NPI 1104936103 · Assisted Living Facility · Reidsville, NC
Graceson Manor is a Assisted Living Facility organization in Reidsville, NC (NPI 1104936103).
Provider details
- NPI number
- 1104936103
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Brenda Gwynn, Owner/Administrator(336) 349-3610
- License
- FCL-079-054 (NC)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(90/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 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
116 Gwynn Dr
Reidsville, NC 27320-8710
Phone: (336) 349-2806
Street-level locationGet directions
Mailing address
116 Gwynn Dr
Reidsville, NC 27320-8710
Registry dates
- Enumerated
- 2006-08-30
- Last updated
- 2008-05-20
Frequently asked questions
- What is Graceson Manor's NPI number?
- Graceson Manor's National Provider Identifier (NPI) is 1104936103, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Graceson Manor?
- Graceson Manor is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Graceson Manor located?
- Graceson Manor's practice location on file with NPPES is 116 Gwynn Dr, Reidsville, NC 27320-8710.
- What is Graceson Manor's phone number?
- The practice phone number listed in the NPPES registry for Graceson Manor is (336) 349-2806.
- Who is the authorized official for Graceson Manor?
- The authorized official listed on Graceson Manor's NPPES record is Brenda Gwynn, Owner/Administrator. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Graceson Manor's NPI active?
- Yes — Graceson Manor's NPI (1104936103) is active in the NPPES registry as of the last update on 2008-05-20.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.