PARKSIDE HOMES
NPI 1457783094
Custodial Care Facility in Moultrie, GA

Active since August 06, 2013
119 4TH ST SW, MOULTRIE, GA 31768(229) 798-0170 Get Directions Write a Review

NPPES record last updated: August 6, 2013. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Parkside Homes NPPES

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

PARKSIDE HOMES (NPI 1457783094) is a healthcare organization registered as a custodial care facility in Moultrie, Georgia and active in the NPI registry since August 2013. The organization lists Wayland Smith Smith, Owner, as its authorized official.

NPPES Registry Identity

NPI1457783094
Entity TypeOrganization
Primary Taxonomy311Z00000X
Legal Business NamePARKSIDE HOMES
Location Address119 4TH ST SWMoultrie, GA 31768-4547
Mailing AddressPo Box 2132Moultrie, GA 31776-2132 · (229) 798-0170
Organization SubpartNo
Authorized OfficialWayland Smith SmithOwner · (229) 798-0170
Enumeration DateAugust 6, 2013
NPI 1457783094 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCustodial Care FacilityNursing & Custodial Care Facilities
Taxonomy Code311Z00000X
Definition
A facility providing care that serves to assist an individual in the activities of daily living, such as assistance in walking, getting in and out of bed, bathing, dressing, feeding, and using the toilet, preparation of special diets, and supervision of medication that usually can be self-administered. Custodial care essentially is personal care that does not require the continuing attention of trained medical or paramedical personnel.
119 4TH ST SW, Moultrie, GA 31768

Other Providers at the Same Location NPPES

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

Registered Nurse
119 4TH ST SW
MOULTRIE, GA 31768

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 Parkside Homes's NPI number?

The NPI number for Parkside Homes is 1457783094. It was assigned to this organization in the NPPES registry on August 6, 2013.

Where is Parkside Homes located?

Parkside Homes is located at 119 4th St SW, Moultrie, GA 31768. The listed phone number is (229) 798-0170.

What is Parkside Homes's specialty?

The primary specialty registered for this NPI is Custodial Care Facility with taxonomy code 311Z00000X.

When was this NPI record last updated?

The NPPES record for Parkside Homes was last updated on August 6, 2013. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 13 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.