Active NPI
Green Acres Healthcare Services
- In Home Supportive Care Agency
- Lithia Springs, GA
National Provider Identifier
1275464141
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GREEN ACRES HEALTHCARE SERVICES
- Practice address
- 4860 Layton Dr
Lithia Springs, GA 30122-7902 - Phone
- (706) 804-1196
- NPI assigned
- May 28, 2026
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Corneille A Adanou
- Title
- Administrator
- Phone
- (706) 804-1196
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
4860 Layton Dr
Lithia Springs, GA 30122-7902
Mailing address
4860 Layton Dr
Lithia Springs, GA 30122-7902
Phone (706) 804-1196
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1779926400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1779926400000",
"number": "1275464141",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "4860 LAYTON DR",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301227902",
"telephone_number": "706-804-1196"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4860 LAYTON DR",
"city": "LITHIA SPRINGS",
"state": "GA",
"postal_code": "301227902",
"telephone_number": "706-804-1196"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GREEN ACRES HEALTHCARE SERVICES",
"organizational_subpart": "NO",
"enumeration_date": "2026-05-28",
"last_updated": "2026-05-28",
"certification_date": "2026-05-28",
"status": "A",
"authorized_official_last_name": "ADANOU",
"authorized_official_first_name": "CORNEILLE",
"authorized_official_middle_name": "A",
"authorized_official_title_or_position": "ADMINISTRATOR",
"authorized_official_telephone_number": "706-804-1196"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Lithia Springs, GA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 28, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.