Type 2 · Organization ✓ Active NPI ✓ Valid NPI checksum

The Mary Washington Assisted Living Home, Inc

Assisted Living Facility (Mental Illness) in Stone Mountain, GA · enumerated 2010 · authorized official Tawana Gray, Ceo.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1003117615

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Registry record

Entity type Organization (Type 2)

Legal business name The Mary Washington Assisted Living Home, Inc

Practice address 590 Mountain Oaks Pkwy, Stone Mountain, GA, 30087

Phone (770) 469-0155

Fax (770) 469-0155

Enumeration date Nov 12, 2010

Last updated in NPPES Nov 12, 2010

Taxonomy & classification

3104A0625X Assisted Living Facility (Mental Illness) Nursing & Custodial Care Facilities · License 044018141 (GA) Primary

3104A0630X Assisted Living Facility (Behavioral Disturbances) Nursing & Custodial Care Facilities · License 044018141 (GA) Secondary

Authorized official

Name Tawana Gray

Title Ceo

Phone (770) 469-0155

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

Read the full guide → Validate an NPI →

Frequently asked questions

Who is the authorized official for The Mary Washington Assisted Living Home, Inc?

NPPES lists Tawana Gray (Ceo) as the authorized official for this organization.

What is the NPI number for The Mary Washington Assisted Living Home, Inc?

The NPI for The Mary Washington Assisted Living Home, Inc is 1003117615, a Type 2 (organization) record in the CMS NPPES registry.

Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2010-11-12.