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TERRACE RIDGE ASSISTED LIVING, INC
NPI 1932223971
Assisted Living Facility in Gastonia, NC

Active since March 16, 2007CLIA 34D2193747 · Waiver
1251 E HUDSON BLVD, GASTONIA, NC 28054(704) 865-5556(704) 865-5560 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Terrace Ridge Assisted Living, Inc NPPES

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

TERRACE RIDGE ASSISTED LIVING, INC (NPI 1932223971) is a healthcare organization registered as an assisted living facility in Gastonia, North Carolina and active in the NPI registry since March 2007. The organization holds a CLIA Waiver certificate valid through September 23, 2026 and lists Edward Eller, Controller, as its authorized official.

NPPES Registry Identity

NPI1932223971
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameTERRACE RIDGE ASSISTED LIVING, INC
Location Address1251 E HUDSON BLVDGastonia, NC 28054-6102
Mailing AddressPo Box 1678Clemmons, NC 27012-1678 · (336) 998-5001 · Fax (336) 998-5470
Phone(704) 865-5556
Fax(704) 865-5560
Organization SubpartNo
Authorized OfficialEdward EllerController · (336) 998-5001
Enumeration DateMarch 16, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1932223971 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 NC · HAL-036-023
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.
1251 E HUDSON BLVD, Gastonia, NC 28054
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Other Identifiers 1

Medicaid7805463NC

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 34D2193747

Terrace Ridge Assisted Living · Gastonia, NC
Active · expires Sep 23, 2026
CLIA Number34D2193747
Laboratory TypeAssisted Living Facility
Certificate Effective DateSeptember 24, 2024
Certificate Expiration DateSeptember 23, 2026
Laboratory DirectorIvy L. Clippard
Laboratory Phone(704) 865-5556
Laboratory LocationTerrace Ridge Assisted Living1251 E Hudson Blvd, Gastonia, NC 28054
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

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.

KATHRYN ELLEN PAGE JEYATHEVA
Occupational Therapist
1251 E HUDSON BLVD
GASTONIA, NC 28054
Gaston County (704) 865-5556
MS. TALISHA SHANENA GINN
Occupational Therapist
1251 E HUDSON BLVD
GASTONIA, NC 28054
Gaston County (704) 865-5556

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 Terrace Ridge Assisted Living, Inc's NPI number?

The NPI number for Terrace Ridge Assisted Living, Inc is 1932223971. It was assigned to this organization in the NPPES registry on March 16, 2007.

Where is Terrace Ridge Assisted Living, Inc located?

Terrace Ridge Assisted Living, Inc is located at 1251 E Hudson Blvd, Gastonia, NC 28054. The listed phone number is (704) 865-5556.

What is Terrace Ridge Assisted Living, Inc's specialty?

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

Does Terrace Ridge Assisted Living, Inc hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 34D2193747) is associated with this NPI, valid through September 23, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Terrace Ridge Assisted Living, Inc 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.