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Greene Haven Family Care Home

Adult Care Home Facility in Shelby, NC · enumerated 2007 · authorized official Latarsha Gullatte, Administrator.

Data current as of Jul 13, 2026 · sourced from CMS NPPES

National Provider Identifier

1124234166

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Registry record

Entity type Organization (Type 2)
Legal business name Greene Haven Family Care Home
Other name <Unavail>
Practice address 1833 Stony Point Rd, Shelby, NC, 28150
Phone (704) 487-0063
Fax (704) 482-8001
Enumeration date May 15, 2007
Last updated in NPPES Sep 24, 2007

Taxonomy & classification

310400000X Assisted Living Facility Nursing & Custodial Care Facilities Secondary
311ZA0620X Adult Care Home Facility Nursing & Custodial Care Facilities · License FCL-023-009 (NC) Primary

Authorized official

Name Latarsha Gullatte
Title Administrator
Phone (704) 487-0063

Other identifiers

Identifier Type State Issuer
7804719 Medicaid NC -

What is an NPI number?

A National Provider Identifier (NPI) is a unique 10-digit number that CMS assigns to every U.S. healthcare provider and organization under HIPAA. Type 1 NPIs identify individual providers; Type 2 NPIs identify organizations. The NPI appears on insurance claims, prescriptions, and credentialing paperwork, and never changes, even if the provider moves or changes specialty.

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Frequently asked questions

What is a Type 2 NPI?
A Type 2 NPI identifies an organization (group practice, hospital, pharmacy, lab), while Type 1 NPIs identify individual providers. Organizations bill under their Type 2 NPI.
What type of organization is Greene Haven Family Care Home?
Greene Haven Family Care Home is registered in NPPES as a Adult Care Home Facility (its primary provider taxonomy).

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Source: CMS NPPES (public data). Snapshot 2026-07-13. Provider record last updated 2007-09-24.