Organization Active NPI

Living Our Lives (Lol) Community Living LLC

  • Home Health Aide
  • Gordon, GA
National Provider Identifier
1003774787
Registry record updated Jan 12, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
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

Updated by the provider on Jan 12, 2026

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

Authorized official

Name
Pamela W. Brezial Reaves, CNANPI 1316363427
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)CodeLicenseStatePrimary
Home Health AideGroup: 193200000X MULTI-SPECIALTY GROUP 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 LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

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.

Verify at the official NPI Registry.