Gracey Manor LLC
NPI 1194033894ActiveOrganization· Assisted Living Facility· Loganville, GA
Assisted Living Facility in Loganville, Georgia, registered in NPPES in September 2010. The authorized official on file is Shaundell Blege, On Site Manager.
Overview
| NPI | 1194033894 |
|---|---|
| Status | Active |
| Entity type | Organization |
| NPI issued | Sep 16, 2010 |
| Last updated in NPPES | Sep 16, 2010 |
Specialties and licenses
| Taxonomy | Code | License | State |
|---|---|---|---|
| Assisted Living Facility Primary | 310400000X | 147010191 | GA |
Exclusion screening
| List | Result | Details |
|---|---|---|
| HHS-OIG LEIE · Nov 10, 2026 | No match | Checked by NPI and by name + state |
| North Carolina Medicaid · Nov 11, 2026 | No match | — |
| New York OMIG · Nov 11, 2026 | No match | — |
| Ohio Medicaid · Nov 11, 2026 | No match | — |
| Pennsylvania Medicheck · Nov 11, 2026 | No match | — |
| Washington HCA · Nov 11, 2026 | No match | — |
Official OIG search · How matching works ·Bulk check a roster
Medicare
| Enrollment (PECOS) | Not in the public enrollment file of Oct 1, 2026 |
|---|
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