Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Parkside Homes

Organization Custodial Care Facility · NPI 1457783094

Parkside Homes is a Custodial Care Facility in Moultrie, Georgia. Registered with an NPI since 2013.

In the registry since
2013

Practice location Address checks out

119 4th St SW
Moultrie, GA 31768-4547
Phone: (229) 798-0170
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Specialties & licences

Custodial Care Facility (primary) Taxonomy 311Z00000X

Record details

NPI number1457783094
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Wayland Smith Smith — Owner · (229) 798-0170
NPI enumeratedAugust 6, 2013
Last updated in NPPESAugust 6, 2013
Mailing addressPo Box 2132, Moultrie, GA 31776-2132