Terrace Ridge Assisted Living, Inc

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

HAL-036-023 Issued in NC

Legal business name

TERRACE RIDGE ASSISTED LIVING, INC

Practice address

1251 E Hudson Blvd
Gastonia, NC 28054-6102

Phone

(704) 865-5556

Fax

(704) 865-5560

NPI assigned

Mar 16, 2007

Organization subpart

No

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

Authorized official

Name

Edward Eller

Title

Controller

Phone

(336) 998-5001

Specialties & licenses 1

Addresses

Other identifiers 1

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

CLIA laboratory certificates

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

{
    "created_epoch": "1174003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1932223971",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 1678",
            "city": "CLEMMONS",
            "state": "NC",
            "postal_code": "270121678",
            "telephone_number": "336-998-5001",
            "fax_number": "336-998-5470"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1251 E HUDSON BLVD",
            "city": "GASTONIA",
            "state": "NC",
            "postal_code": "280546102",
            "telephone_number": "704-865-5556",
            "fax_number": "704-865-5560"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TERRACE RIDGE ASSISTED LIVING, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-03-16",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "ELLER",
        "authorized_official_first_name": "EDWARD",
        "authorized_official_title_or_position": "CONTROLLER",
        "authorized_official_telephone_number": "336-998-5001"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "NC",
            "license": "HAL-036-023",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7805463",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Teen Scene Act 1
• Teen Scene Act 3
• Crystal Marie Teets
• Tender Living Care, LLC
• Raquel Cox Tennal, MA, LPC
• Sarah Jean Tesar, OTR/L, CLT
• Lakisha Y Teschemaker, DNP
• Jordan Leann Tessmann, NURSE PRACTITIONER
• Thad Pierce Johnston DDS PA
• Tsewntoo Austin Thao, DO

• Assisted Living Facility in Gastonia, NC
• Providers in Gastonia, NC by specialty
• Assisted Living Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; 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.