Organization Active NPI

Mirrors of the Heart Independent Living Services

  • Case Manager/Care Coordinator
  • Decatur, GA
National Provider Identifier
1063394856
Registry record updated Jul 23, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
MIRRORS OF THE HEART INDEPENDENT LIVING SERVICES
Practice address
4316 Riverwood Cir
Decatur, GA 30035-2929
Phone
(669) 226-0381
Fax
(559) 408-5589
NPI assigned
Jul 23, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 23, 2025

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

Authorized official

Name
Livia S BrownNPI 1558894337
Title
Case Manager/Owner
Phone
(669) 226-0381

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
Case Manager/Care CoordinatorGroup: 193400000X SINGLE SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

4316 Riverwood Cir
Decatur, GA 30035-2929

Mailing address

4316 Riverwood Cir
Decatur, GA 30035-2929
Phone (669) 226-0381

Other names 1

  • Mirrors of the Heart Independent Living Services Other name

National Provider Directory

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": "1753228800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1753228800000",
    "number": "1063394856",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4316 RIVERWOOD CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352929",
            "telephone_number": "669-226-0381",
            "fax_number": "559-408-5589"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4316 RIVERWOOD CIR",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300352929",
            "telephone_number": "669-226-0381",
            "fax_number": "559-408-5589"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MIRRORS OF THE HEART INDEPENDENT LIVING SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-07-23",
        "last_updated": "2025-07-23",
        "certification_date": "2025-07-22",
        "status": "A",
        "authorized_official_last_name": "BROWN",
        "authorized_official_first_name": "LIVIA",
        "authorized_official_middle_name": "S",
        "authorized_official_title_or_position": "CASE MANAGER/OWNER",
        "authorized_official_telephone_number": "669-226-0381"
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Mirrors of the Heart Independent Living Services",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Decatur, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 23, 2025; 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.