OrganizationActive
Gracey Manor LLC
NPI 1194033894 · Assisted Living Facility · Loganville, GA
Gracey Manor LLC is a Assisted Living Facility organization in Loganville, GA (NPI 1194033894).
Provider details
- NPI number
- 1194033894
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Shaundell Blege, On Site Manager(404) 889-7145
- License
- 147010191 (GA)
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
Detailed profile(83/100 index)
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
3400 Youth Monroe Rd
Loganville, GA 30052-4327
Phone: (770) 466-1535
Street-level locationGet directions
Mailing address
3400 Youth Monroe Rd
Loganville, GA 30052-4327
Registry dates
- Enumerated
- 2010-09-16
- Last updated
- 2010-09-16
Frequently asked questions
- What is Gracey Manor LLC's NPI number?
- Gracey Manor LLC's National Provider Identifier (NPI) is 1194033894, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Gracey Manor LLC?
- Gracey Manor LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Gracey Manor LLC located?
- Gracey Manor LLC's practice location on file with NPPES is 3400 Youth Monroe Rd, Loganville, GA 30052-4327.
- What is Gracey Manor LLC's phone number?
- The practice phone number listed in the NPPES registry for Gracey Manor LLC is (770) 466-1535.
- Who is the authorized official for Gracey Manor LLC?
- The authorized official listed on Gracey Manor LLC's NPPES record is Shaundell Blege, On Site Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Gracey Manor LLC's NPI active?
- Yes — Gracey Manor LLC's NPI (1194033894) is active in the NPPES registry as of the last update on 2010-09-16.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.