Moultrie I Enterprises, LLC
NPI 1881915338 · Assisted Living Facility · Moultrie, GA
Moultrie I Enterprises, LLC is a Assisted Living Facility organization in Moultrie, GA (NPI 1881915338).
Provider details
- NPI number
- 1881915338
- Entity type
- Organization
- Primary specialty
- Assisted Living FacilityNursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Gary Blake, Managing Member(817) 348-8841
Specialties & taxonomies
Nursing & Custodial Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
16 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- Park Regency of Moultrie
Registry dates
- Enumerated
- 2010-06-18
- Last updated
- 2010-06-18
Frequently asked questions
- What is Moultrie I Enterprises, LLC's NPI number?
- Moultrie I Enterprises, LLC's National Provider Identifier (NPI) is 1881915338, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Moultrie I Enterprises, LLC?
- Moultrie I Enterprises, LLC is classified in the NPPES registry as Assisted Living Facility (Nursing & Custodial Care Facilities).
- Where is Moultrie I Enterprises, LLC located?
- Moultrie I Enterprises, LLC's practice location on file with NPPES is 3000 Veterans Pkwy S, Moultrie, GA 31788-7762.
- What is Moultrie I Enterprises, LLC's phone number?
- The practice phone number listed in the NPPES registry for Moultrie I Enterprises, LLC is (229) 890-3342.
- Who is the authorized official for Moultrie I Enterprises, LLC?
- The authorized official listed on Moultrie I Enterprises, LLC's NPPES record is Gary Blake, Managing Member. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Moultrie I Enterprises, LLC's NPI active?
- Yes — Moultrie I Enterprises, LLC's NPI (1881915338) is active in the NPPES registry as of the last update on 2010-06-18.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.