Active NPI
Terrace Court Senior Living, Inc.
Doing business as Mountain Terrace Senior Living CBRF
- Assisted Living Facility
- Wausau, WI
National Provider Identifier
1164806261
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- Legal business name
- TERRACE COURT SENIOR LIVING, INC.
- Doing business as
- Mountain Terrace Senior Living CBRF
- Practice address
- 3402 Terrace CT
Wausau, WI 54401-4914 - Phone
- (715) 843-5230
- Fax
- (715) 845-1768
- NPI assigned
- Jul 17, 2015
- Last updated
- Jun 11, 2025
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Amber L Tueller
- Title
- Secretary
- Phone
- (208) 207-2726
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Assisted Living Facility | 310400000X | NU | Primary |
Addresses
Primary practice location
3402 Terrace CT
Wausau, WI 54401-4914
Mailing address
3402 Terrace CT
Wausau, WI 54401-4914
Phone (715) 843-5230
Other names 1
- Mountain Terrace Senior Living CBRF
Laboratory certificates & supplier records
Derived by NPIMapThese CMS records do not include an NPI. They are shown because their name and street address match this provider’s.
CLIA laboratory certificates
| CLIA number | Laboratory | Certificate | Expires |
|---|---|---|---|
| 52D1105741 | Terrace Court Senior Living | Certificate of waiver | Sep 27, 2027 |
National Provider Directory
National Provider DirectoryLocations
3402 Terrace Ct
Wausau, WI 54401
Phone (715) 843-5230
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1437091200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749600000000",
"number": "1164806261",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3402 TERRACE CT",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014914",
"telephone_number": "715-843-5230",
"fax_number": "715-845-1768"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3402 TERRACE CT",
"city": "WAUSAU",
"state": "WI",
"postal_code": "544014914",
"telephone_number": "715-843-5230",
"fax_number": "715-845-1768"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "TERRACE COURT SENIOR LIVING, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2015-07-17",
"last_updated": "2025-06-11",
"certification_date": "2025-06-11",
"status": "A",
"authorized_official_last_name": "TUELLER",
"authorized_official_first_name": "AMBER",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "SECRETARY",
"authorized_official_telephone_number": "208-207-2726"
},
"taxonomies": [
{
"code": "310400000X",
"taxonomy_group": "",
"desc": "Assisted Living Facility",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Mountain Terrace Senior Living CBRF",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Mountain Terrace Senior Living CBRF",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Wausau, WI
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 11, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.