OrganizationActive
Quencie'S Manor LLC
NPI 1619403805 · Physical Disabilities Residential Treatment Facility · Macon, GA
Provider details
- NPI number
- 1619403805
- Entity type
- Organization
- Primary specialty
- Physical Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Joseph Andrews, Administator(478) 832-5479
- License
- PCH009157 (GA)
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
2104 Jeffersonville Rd
Macon, GA 31217-4517
Phone: (478) 832-5479
Fax: (478) 239-5148
Street-level locationGet directions
Mailing address
2104 Jeffersonville Rd
Macon, GA 31217-4517
Registry dates
- Enumerated
- 2017-05-07
- Last updated
- 2017-05-07
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.