GULLATTE ENTERPRISES
NPI 1124234166
Custodial Care Facility - Adult Care Home in Shelby, NC

Q: What is Greene Haven Family Care Home's NPI number?

The NPI number for Greene Haven Family Care Home is 1124234166. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as Gullatte Enterprises.

Q: What is Greene Haven Family Care Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

Active since May 15, 2007

1833 STONY POINT RD, SHELBY, NC 28150(704) 487-0063(704) 482-8001 Get Directions Write a Review

NPPES record last updated: September 24, 2007. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Gullatte Enterprises NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

GULLATTE ENTERPRISES (NPI 1124234166) is a healthcare organization registered as an adult care home in Shelby, North Carolina and active in the NPI registry since May 2007. The organization lists Latarsha Roseboro Gullatte, Administrator, as its authorized official.

NPPES Registry Identity

NPI1124234166

Entity TypeOrganization

Primary Taxonomy311ZA0620X

Legal Business NameGREENE HAVEN FAMILY CARE HOME

Location Address1833 STONY POINT RDShelby, NC 28150-9601

Mailing Address1833 Stony Point RdShelby, NC 28150-9601 · (704) 487-0063 · Fax (704) 482-8001

Phone(704) 487-0063

Fax(704) 482-8001

Organization SubpartNo

Authorized OfficialLatarsha Roseboro GullatteAdministrator · (704) 487-0063

Enumeration DateMay 15, 2007

Last NPPES UpdateSeptember 24, 2007

✔ NPI 1124234166 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities

Taxonomy Code311ZA0620X

License✔ Licensed in NC · FCL-023-009

Definition

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.

Also ListedAssisted Living FacilityTaxonomy 310400000X

1833 STONY POINT RD, Shelby, NC 28150

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Other Names 1

Doing Business AsGullatte Enterprises

Other Identifiers 1

Medicaid7804719NC

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

HARRIS ENTERPRISES OF NC INC, D/B/A GREENE HAVEN FAMILY CARE

Assisted Living Facility

1833 STONY POINT RD
SHELBY, NC 28150

Cleveland County (704) 460-4072

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Greene Haven Family Care Home's NPI number?

The NPI number for Greene Haven Family Care Home is 1124234166. It was assigned to this organization in the NPPES registry on May 15, 2007. The provider is doing business as Gullatte Enterprises.

Where is Greene Haven Family Care Home located?

Greene Haven Family Care Home is located at 1833 Stony Point Rd, Shelby, NC 28150. The listed phone number is (704) 487-0063.

What is Greene Haven Family Care Home's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Greene Haven Family Care Home was last updated on September 24, 2007. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 18 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.