TRACES OF TIGER I
NPI 1770036030
Assisted Living Facility in Tiger, GA

Active since August 03, 2016
382 BRIDGE CREEK RD, TIGER, GA 30576(706) 782-6208(706) 782-5019 Get Directions Write a Review

NPPES record last updated: August 3, 2016. Verified against the NPPES registry weekly; last sync: August 23, 2026.

About Traces Of Tiger I NPPES

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

TRACES OF TIGER I (NPI 1770036030) is a healthcare organization registered as an assisted living facility in Tiger, Georgia and active in the NPI registry since August 2016. The organization lists Carlie S Pennington, Sole Mb, as its authorized official.

NPPES Registry Identity

NPI1770036030
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTRACES OF TIGER I
Location Address382 BRIDGE CREEK RDTiger, GA 30576-2211
Mailing Address382 Bridge Creek RdTiger, GA 30576-2211 · (706) 782-6208 · Fax (706) 782-5019
Fax(706) 782-5019
Organization SubpartNo
Authorized OfficialCarlie S PenningtonSole Mb · (706) 746-6571
Enumeration DateAugust 3, 2016
NPI 1770036030 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 · 119030011
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.
382 BRIDGE CREEK RD, Tiger, GA 30576

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 Traces Of Tiger I's NPI number?

The NPI number for Traces Of Tiger I is 1770036030. It was assigned to this organization in the NPPES registry on August 3, 2016.

Where is Traces Of Tiger I located?

Traces Of Tiger I is located at 382 Bridge Creek Rd, Tiger, GA 30576. The listed phone number is (706) 782-6208.

What is Traces Of Tiger I'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 Traces Of Tiger I was last updated on August 3, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 10 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.