Organization Active NPI

Tuliptree Group Home LLC

  • Personal Care Attendant
  • Greensboro, NC
National Provider Identifier
1639043789
Registry record updated Oct 1, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
TULIPTREE GROUP HOME LLC
Practice address
4702 Tuliptree Dr
Greensboro, NC 27455-3402
Phone
(336) 285-5945
NPI assigned
Oct 1, 2025
Last updated
Oct 1, 2025By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 1, 2025

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Ms. Larae Vernita Potter, AFL PROVIDERNPI 1952995094
Title
Provider
Phone
(336) 221-6357

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

4702 Tuliptree Dr
Greensboro, NC 27455-3402

Mailing address

4702 Tuliptree Dr
Greensboro, NC 27455-3402
Phone (336) 285-5945

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1759276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1759276800000",
    "number": "1639043789",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4702 TULIPTREE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553402",
            "telephone_number": "336-285-5945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4702 TULIPTREE DR",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274553402",
            "telephone_number": "336-285-5945"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TULIPTREE GROUP HOME LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-10-01",
        "last_updated": "2025-10-01",
        "certification_date": "2025-10-01",
        "status": "A",
        "authorized_official_last_name": "POTTER",
        "authorized_official_first_name": "LARAE",
        "authorized_official_middle_name": "VERNITA",
        "authorized_official_title_or_position": "PROVIDER",
        "authorized_official_telephone_number": "336-221-6357",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "AFL PROVIDER"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Greensboro, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 1, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.