Organization Active NPI

Terrace Court Senior Living, Inc.

Doing business as Mountain Terrace Senior Living CBRF

  • Assisted Living Facility
  • Wausau, WI
National Provider Identifier
1164806261
Registry record updated Jun 11, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
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, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 11, 2025

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)CodeLicenseStatePrimary
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 Doing business as

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
52D1105741Terrace Court Senior Living3402 Terrace CT, Wausau, WI 54401Certificate of waiverSep 27, 2027

National Provider Directory

National Provider Directory

Locations

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.

Verify at the official NPI Registry.