Graceson Manor
Graceson Manor is a healthcare organization registered as Assisted Living Facility in Reidsville, NC, holding Type 2 (organization) NPI 1104936103 since 2006. The authorized official on file is Brenda Gwynn, Owner/Administrator.
✓ Active NPI ✓ Valid NPI checksum
| NPI | 1104936103 |
|---|---|
| Entity type | Organization (Type 2) |
| Legal business name | Graceson Manor |
| Practice address | 116 GWYNN DR, Reidsville, NC, 27320 |
| Phone | 3363492806 |
| Enumeration date | 2006-08-30 |
| Last updated in NPPES | 2008-05-20 |
Authorized official
| Name | Brenda Gwynn |
|---|---|
| Title | Owner/Administrator |
| Phone | 3363493610 |
Taxonomy & classification
| Taxonomy code | Specialty | Primary | License | State |
|---|---|---|---|---|
| 310400000X | Assisted Living Facility | Primary | FCL-079-054 | NC |
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 7805575 | Other | NC | EDS NUMBER |
Copy-ready billing details
Provider: Graceson Manor NPI: 1104936103 Taxonomy: 310400000X (Assisted Living Facility) Address: 116 GWYNN DR, Reidsville, NC, 27320
Providers at this address
| NPI | Name | Type | Specialty | Location |
|---|---|---|---|---|
| 1346412467 | Graceson Manor | Organization | Assisted Living Facility | Reidsville, NC |
| 1508002213 | Christy Gwynn | Individual | Assisted Living Facility | Reidsville, NC |
| 1659814903 | New Graceson Manor Adult Care, LLC | Organization | Adult Care Home Facility | Reidsville, NC |
| 1699212555 | New Graceson Manor Adult Care | Organization | Adult Care Home Facility | Reidsville, NC |
| 1962387506 | Rice Family Care, LLC | Organization | Adult Care Home Facility | Reidsville, NC |
Verify this record
Cross-check NPI 1104936103 against the authoritative CMS record: view Graceson Manor on the official NPPES registry .
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 or validate an NPI number.
Frequently asked questions
What type of organization is Graceson Manor?
What is a Type 2 NPI?
Source: CMS NPPES (public data). Snapshot 2026-07-11. Provider record last updated 2008-05-20.