Active NPI
Living Our Lives (Lol) Community Living LLC
- Home Health Aide
- Gordon, GA
National Provider Identifier
1003774787
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- Legal business name
- LIVING OUR LIVES (LOL) COMMUNITY LIVING LLC
- Practice address
- 322 Milledgeville Hwy
Gordon, GA 31031-4177 - Phone
- (478) 457-6226
- Fax
- (478) 628-4054
- NPI assigned
- Jan 12, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Pamela W. Brezial Reaves, CNA
- Title
- Owner/Ceo
- Phone
- (478) 457-6226
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 374U00000X | Primary |
Addresses
Primary practice location
322 Milledgeville Hwy
Gordon, GA 31031-4177
Mailing address
322 Milledgeville Hwy
Gordon, GA 31031-4177
Phone (478) 457-6226
National Provider Directory
National Provider Directory- Tax ID family
- Living Our Lives Lol Communinity Living LLC
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Home Health Registered Nurse
- Gordon, GA
- NPI 1962360560
Practitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Durable Medical Equipment & Medical Supplies
- Gordon, GA
- NPI 1316363427
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1768176000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1768176000000",
"number": "1003774787",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "322 MILLEDGEVILLE HWY",
"city": "GORDON",
"state": "GA",
"postal_code": "310314177",
"telephone_number": "478-457-6226",
"fax_number": "478-628-4054"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "322 MILLEDGEVILLE HWY",
"city": "GORDON",
"state": "GA",
"postal_code": "310314177",
"telephone_number": "478-457-6226",
"fax_number": "478-628-4054"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING OUR LIVES (LOL) COMMUNITY LIVING LLC",
"organizational_subpart": "NO",
"enumeration_date": "2026-01-12",
"last_updated": "2026-01-12",
"certification_date": "2026-01-12",
"status": "A",
"authorized_official_last_name": "REAVES",
"authorized_official_first_name": "PAMELA",
"authorized_official_middle_name": "W. BREZIAL",
"authorized_official_title_or_position": "OWNER/CEO",
"authorized_official_telephone_number": "478-457-6226",
"authorized_official_credential": "CNA"
},
"taxonomies": [
{
"code": "374U00000X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Gordon, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 12, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.