GRACE VILLAGE INC NPI 1710528377

NPI Information

  • NPI: 1710528377
  • Provider Name: GRACE VILLAGE INC
  • Classification: Assisted Living Facility - 310400000X
  • Entity Type: Organization
  • CLIA Number: 34D2221855
  • Address: 501 RIVER BEND DR.
    GRANITE FALLS, NC
    ZIP 28630
  • Phone: (336) 998-5001

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NPI Details

GRACE VILLAGE INC is an assisted living facility in Granite Falls, NC. The provider is a facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being. GRACE VILLAGE INC NPI is 1710528377. The provider is registered as an organization entity type.

The provider's business location address is:

501 RIVER BEND DR.
GRANITE FALLS, NC
ZIP 28630
Phone: (336) 998-5001

The provider's authorized official is Rodney Worley .
The authorized official title is Administrator and has the following contact phone number (336) 998-5001.

The CLIA number assigned to this NPI record is 34D2221855 - assisted living facility with a certificate type of Certificate of Waiver.

The enumeration date for this NPI number is 10/4/2019 and was last updated on 10/4/2019.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1310400000XAssisted Living FacilityYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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