Organization · Type 2 NPI
Gracie's Adult Care Home LLC
Adult Care Home Facility · Salem, OR
NPI number
1104745058
Active
Practice location
326 Carnelia St SE
Salem, OR 97306-2077
Fax (503) 339-7927
Mailing address
4841 Ranger Ave NE
Salem, OR 97305-4141
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Adult Care Home Facility Primary | 311ZA0620X | None listed |
Adult Care Home Facility: A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
2 other providers at this address
About NPI 1104745058
Gracie's Adult Care Home LLC's National Provider Identifier is 1104745058, issued on Jul 14, 2026. The primary taxonomy on file is Adult Care Home Facility (311ZA0620X), and the practice location is in Salem, OR. The record was last updated on Jul 14, 2026.