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TRACY GREEN HEALTHCARE
NPI 1417716408
Assisted Living Facility - Assisted Living, Mental Illness in Greensboro, NC

Active since March 13, 2024
200 E BESSEMER AVE STE 100, GREENSBORO, NC 27401(336) 686-9514 Get Directions Write a Review

NPPES record last updated: November 5, 2024. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Nov 5, 2024, Sep 27, 2024 (2 updates tracked since 2024).

About Tracy Green Healthcare NPPES

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

TRACY GREEN HEALTHCARE (NPI 1417716408) is an individual assisted living, mental illness provider in Greensboro, North Carolina and active in the NPI registry since March 2024.

NPPES Registry Identity

NPI1417716408
Entity TypeIndividualFemale
Primary Taxonomy3104A0625X
Provider Legal NameTRACY GREENCredential: HEALTHCARE
Location Address200 E BESSEMER AVE STE 100Greensboro, NC 27401-1416
Mailing Address200 E Bessemer Ave Ste 100Greensboro, NC 27401-1416 · (336) 686-9514
Phone(336) 686-9514
Sole ProprietorYes
Enumeration DateMarch 13, 2024
Last NPPES UpdateNovember 5, 20242 updates tracked since enumeration
NPPES CertifiedNovember 5, 2024
✔ NPI 1417716408 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
200 E BESSEMER AVE STE 100, Greensboro, NC 27401
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Other Providers at the Same Location NPPES 2

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

MELANIE IBRAHIM
Assisted Living Facility (Assisted Living, Mental Illness)
200 E BESSEMER AVE STE 100
GREENSBORO, NC 27401
Guilford County (336) 370-7290
JORDAN HEALTHCARE AND SERVICES
Assisted Living Facility (Assisted Living, Mental Illness)
200 E BESSEMER AVE STE 100
GREENSBORO, NC 27401
Guilford County (336) 686-9514

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 Tracy Green's NPI number?

The NPI number for Tracy Green is 1417716408. It was assigned to this individual provider in the NPPES registry on March 13, 2024.

Where is Tracy Green located?

Tracy Green practices at 200 E Bessemer Ave Ste 100, Greensboro, NC 27401. The listed phone number is (336) 686-9514.

What is Tracy Green's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Tracy Green was last updated on November 5, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 21 months 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.