Organization Active NPI

Living Private Home Care

  • Respite Care
  • Atlanta, GA
National Provider Identifier
1013290436
Registry record updated Sep 21, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Respite CareTaxonomy code 385H00000X
License
0060R0065 Issued in GA
Legal business name
LIVING PRIVATE HOME CARE
Practice address
3034 Grand Ave SW
N/a
Atlanta, GA 30315-9020
Phone
(404) 518-0619
Fax
(770) 964-0694
NPI assigned
Sep 21, 2011
Organization subpart
Yes
Parent organization
N/AAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Sep 21, 2011

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

Authorized official

Name
Ms. Nnenna M. Ekeke, N/A
Title
Program Director
Phone
(404) 518-0619

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Respite Care 385H00000X 0060R0065 GA Primary

Addresses

Primary practice location

3034 Grand Ave SW
N/a
Atlanta, GA 30315-9020

Mailing address

3034 Grand Ave SW
N/a
Atlanta, GA 30315-9020
Phone (404) 518-0619

Other names 1

  • N/A Other name

National Provider Directory

National Provider Directory
Part of
Veteran'S Affairs Hospital

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

NPI Registry JSON

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

{
    "created_epoch": "1316563200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1316563200000",
    "number": "1013290436",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3034 GRAND AVE SW",
            "address_2": "N/A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303159020",
            "telephone_number": "404-518-0619",
            "fax_number": "770-969-0694"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3034 GRAND AVE SW",
            "address_2": "N/A",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303159020",
            "telephone_number": "404-518-0619",
            "fax_number": "770-964-0694"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING PRIVATE HOME CARE",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "N/A",
        "enumeration_date": "2011-09-21",
        "last_updated": "2011-09-21",
        "status": "A",
        "authorized_official_last_name": "EKEKE",
        "authorized_official_first_name": "NNENNA",
        "authorized_official_middle_name": "M.",
        "authorized_official_title_or_position": "PROGRAM DIRECTOR",
        "authorized_official_telephone_number": "404-518-0619",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "N/A"
    },
    "taxonomies": [
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": "GA",
            "license": "0060R0065",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "N/A",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Atlanta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 21, 2011; 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.