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NORTHLAKE GARDENS
NPI 1740229707
Assisted Living Facility in Tucker, GA

Active since June 05, 2006
1300 MONTREAL RD, TUCKER, GA 30084(770) 934-0034(770) 934-0055 Get Directions Write a Review

NPPES record last updated: June 27, 2016. Verified against the NPPES registry weekly; last sync: July 19, 2026.

About Northlake Gardens NPPES

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

NORTHLAKE GARDENS (NPI 1740229707) is a healthcare organization registered as an assisted living facility in Tucker, Georgia and active in the NPI registry since June 2006. The organization lists Bruce J Mackey, President & Chief Executive Officer, as its authorized official.

NPPES Registry Identity

NPI1740229707
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameFIVE STAR QUALITY CARE-GA, LLC
Location Address1300 MONTREAL RDTucker, GA 30084-8141
Mailing Address400 Centre StNewton, MA 02458-2094 · (617) 796-8387 · Fax (617) 796-8385
Phone(770) 934-0034
Fax(770) 934-0055
Organization SubpartYes
Authorized OfficialBruce J MackeyPresident & Chief Executive Officer · (617) 796-8214
Enumeration DateJune 5, 2006
Last NPPES UpdateJune 27, 2016
✔ NPI 1740229707 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in GA · 044-03-019-1
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.

1300 MONTREAL RD, Tucker, GA 30084
Open in Google Maps ↗

Other Names 1

Doing Business AsNorthlake Gardens

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 11D2005204

Oaks At Tucker · Tucker, GA
Expired · Mar 22, 2026
CLIA Number11D2005204
Laboratory TypeAssisted Living Facility
Certificate Effective DateMarch 23, 2024
Certificate Expiration DateMarch 22, 2026
Laboratory DirectorTawana Jackson
Laboratory Phone(770) 934-0034
Laboratory LocationOaks At Tucker1300 Montreal Road, Tucker, GA 30084
CLIA data matches this NPI record on: Address Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

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

SNH GEORGIA TENANT LLC
Assisted Living Facility
1300 MONTREAL RD
TUCKER, GA 30084
Dekalb County (770) 934-0034

Frequently Asked Questions

What is FIVE STAR QUALITY CARE-GA, LLC's NPI number?

The NPI number assigned to this healthcare provider is 1740229707, enumerated as an "organization" on June 05, 2006.

Where is the provider located?

The provider is located at 1300 MONTREAL RD TUCKER, GA 30084 and the phone number is (770) 934-0034.

What is the provider's specialty?

Assisted Living Facility with taxonomy code 310400000X.