Truly Living Well PCH, LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

031011731 Issued in GA

Legal business name

TRULY LIVING WELL PCH, LLC

Practice address

7078 Bethel CT
Riverdale, GA 30296-2152

Phone

(678) 519-4984

NPI assigned

Oct 9, 2012

Organization subpart

No

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

Authorized official

Name

Jeannie Casey

Title

Owner

Phone

(678) 451-2890

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1349740800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349740800000",
    "number": "1083966428",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "326 RIDGE TRL",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302741954"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7078 BETHEL CT",
            "city": "RIVERDALE",
            "state": "GA",
            "postal_code": "302962152",
            "telephone_number": "678-519-4984"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TRULY LIVING WELL PCH, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-09",
        "last_updated": "2012-10-09",
        "status": "A",
        "authorized_official_last_name": "CASEY",
        "authorized_official_first_name": "JEANNIE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-451-2890"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "031011731",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Kellie Michelle Trenholme, AGACNP-BC
• Tri-County Pediatrics
• Trident Pulmonary and Critical Care PC
• Triple T Non Emergency Medical Transportation
• Tristar Injury Center of Riverdale LLC
• Lakredi Vinda Tu Alston, RBT
• Darlene Thea Tucker, RN
• Tairon Tucker
• Ruby Rose Villanueva Tumbagahon, PT, DPT
• Brooklyn Elaina Turner, BCBA

• Assisted Living Facility in Riverdale, GA
• Providers in Riverdale, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 9, 2012; 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.