Life Wellness Group of Atlanta

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

253Z00000X Issued in GA

Legal business name

LIFE WELLNESS GROUP OF ATLANTA

Practice address

145 Wilhemina Drive
Ellenwood, GA 30294

Phone

(678) 858-2815

NPI assigned

Oct 2, 2012

Last updated

Oct 2, 2012By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Roman Tarplin

Title

Owner/Ceo

Phone

(678) 858-2815

Specialties & licenses 3

Addresses

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

{
    "created_epoch": "1349136000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1349136000000",
    "number": "1235480138",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "145 WILHEMINA DRIVE",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "30294"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "145 WILHEMINA DRIVE",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "30294",
            "telephone_number": "678-858-2815"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE WELLNESS GROUP OF ATLANTA",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-10-02",
        "last_updated": "2012-10-02",
        "status": "A",
        "authorized_official_last_name": "TARPLIN",
        "authorized_official_first_name": "ROMAN",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "678-858-2815"
    },
    "taxonomies": [
        {
            "code": "332U00000X",
            "taxonomy_group": "",
            "desc": "Home Delivered Meals",
            "state": "GA",
            "license": "332U00000X",
            "primary": false
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": "GA",
            "license": "347C00000X",
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "253Z00000X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Jacqueline Lewis, NP
• Kevin J Lewis, RT
• Mani Lewis
• Jacquiece Liddell, AGACNP
• Life Intervention Network Center
• Lillian Davenport Parker
• Tracy Lin, MS, OTR/L
• Wilbur T. Little
• Love Is Kind Counseling Services, LLC
• Loving Hands Serenity Healthcare LLC

• In Home Supportive Care Agency in Ellenwood, GA
• Providers in Ellenwood, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 2, 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.