Willie B Gardner Assisted Living Inc.
NPI 1710683396 · Assisted Living Facility · Riverdale, GA
Willie B Gardner Assisted Living Inc. is a Assisted Living Facility organization in Riverdale, GA (NPI 1710683396).
Provider details
- NPI number
- 1710683396
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Shaurina Dudley, Ceo(678) 663-9674
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 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
Other names (DBA / former)
- Doing business as
- Willie B Gardner Care Home Inc.
Registry dates
- Enumerated
- 2023-02-06
- Last updated
- 2023-02-06
- Certified
- 2023-02-04
Frequently asked questions
- What is Willie B Gardner Assisted Living Inc.'s NPI number?
- Willie B Gardner Assisted Living Inc.'s National Provider Identifier (NPI) is 1710683396, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Willie B Gardner Assisted Living Inc.?
- Willie B Gardner Assisted Living Inc. is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Willie B Gardner Assisted Living Inc. located?
- Willie B Gardner Assisted Living Inc.'s practice location on file with NPPES is 1262 King Rd, Riverdale, GA 30296-2952.
- What is Willie B Gardner Assisted Living Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Willie B Gardner Assisted Living Inc. is (678) 789-5174.
- Who is the authorized official for Willie B Gardner Assisted Living Inc.?
- The authorized official listed on Willie B Gardner Assisted Living Inc.'s NPPES record is Shaurina Dudley, Ceo. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Willie B Gardner Assisted Living Inc.'s NPI active?
- Yes — Willie B Gardner Assisted Living Inc.'s NPI (1710683396) is active in the NPPES registry as of the last update on 2023-02-06.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.