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GREEN TERRACE
NPI 1598884835
Assisted Living Facility in Moultrie, GA

Active since March 28, 2007
821 26TH AVE SE, MOULTRIE, GA 31768(229) 985-0905(229) 890-8130 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Green Terrace NPPES

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

GREEN TERRACE (NPI 1598884835) is a healthcare organization registered as an assisted living facility in Moultrie, Georgia and active in the NPI registry since March 2007. The organization lists Thomas W Greene, Owner, as its authorized official.

NPPES Registry Identity

NPI1598884835
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameGREEN TERRACE
Location Address821 26TH AVE SEMoultrie, GA 31768-6769
Mailing Address821 26th Ave SeMoultrie, GA 31768-6769 · (229) 985-0905 · Fax (229) 890-8130
Phone(229) 985-0905
Fax(229) 890-8130
Organization SubpartNo
Authorized OfficialThomas W GreeneOwner · (229) 985-0905
Enumeration DateMarch 28, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1598884835 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
821 26TH AVE SE, Moultrie, GA 31768
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Other Identifiers 1

Medicaid00744818AGA

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 Green Terrace's NPI number?

The NPI number for Green Terrace is 1598884835. It was assigned to this organization in the NPPES registry on March 28, 2007.

Where is Green Terrace located?

Green Terrace is located at 821 26th Ave SE, Moultrie, GA 31768. The listed phone number is (229) 985-0905.

What is Green Terrace's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Green Terrace was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.