Organization Active NPI

Nulife Senior Care LLC

  • Home Health Agency
  • Marietta, GA
National Provider Identifier
1093188732
Registry record updated Oct 25, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
NULIFE SENIOR CARE LLC
Practice address
707 Whitlock Ave SW Ste A40
Marietta, GA 30064-4654
Phone
(770) 635-7979
Fax
(770) 635-7979
NPI assigned
Nov 3, 2015
Last updated
Oct 25, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 25, 2022

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

Authorized official

Name
Erica ClayNPI 1407573975
Title
Owner
Phone
(770) 635-7979

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 Agency 251E00000X NU Primary

Addresses

Primary practice location

707 Whitlock Ave SW Ste A40
Marietta, GA 30064-4654

Mailing address

707 Whitlock Ave SW Ste A40
Marietta, GA 30064-4654
Phone (770) 635-7979

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, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1446508800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1666656000000",
    "number": "1093188732",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE A40",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644654",
            "telephone_number": "770-635-7979",
            "fax_number": "770-635-7979"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "707 WHITLOCK AVE SW STE A40",
            "city": "MARIETTA",
            "state": "GA",
            "postal_code": "300644654",
            "telephone_number": "770-635-7979",
            "fax_number": "770-635-7979"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "NULIFE SENIOR CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-11-03",
        "last_updated": "2022-10-25",
        "certification_date": "2022-10-25",
        "status": "A",
        "authorized_official_last_name": "CLAY",
        "authorized_official_first_name": "ERICA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "770-635-7979"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Marietta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 25, 2022; 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.