Organization Active NPI

Living Life Skilled Nursing LLC

  • Home Health Agency
  • Norcross, GA
National Provider Identifier
1003543968
Registry record updated Aug 17, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVING LIFE SKILLED NURSING LLC
Doing business as
Living Life Skilled Nursing LLC
Practice address
787 Grey Rock Rd # 10
Norcross, GA 30093-4983
Phone
(678) 481-7198
Fax
(770) 807-0504
NPI assigned
Aug 2, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 17, 2022

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

Authorized official

Name
Theeng Lian
Title
Administrator
Phone
(678) 481-7203

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

787 Grey Rock Rd # 10
Norcross, GA 30093-4983

Mailing address

787 Grey Rock Rd
Norcross, GA 30093-4983
Phone (678) 481-7203

Other names 1

  • Living Life Skilled Nursing LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1659398400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660694400000",
    "number": "1003543968",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "787 GREY ROCK RD",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300934983",
            "telephone_number": "678-481-7203",
            "fax_number": "770-807-0504"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "787 GREY ROCK RD # 10",
            "city": "NORCROSS",
            "state": "GA",
            "postal_code": "300934983",
            "telephone_number": "678-481-7198",
            "fax_number": "770-807-0504"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIFE SKILLED NURSING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-08-02",
        "last_updated": "2022-08-17",
        "certification_date": "2022-08-17",
        "status": "A",
        "authorized_official_last_name": "LIAN",
        "authorized_official_first_name": "THEENG",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "678-481-7203"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Life Skilled Nursing LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Norcross, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 17, 2022; 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.