Organization Active NPI

Jovial Home Healthcare LLC

  • In Home Supportive Care Agency
  • Ellenwood, GA
National Provider Identifier
1275483612
Registry record updated Feb 3, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
JOVIAL HOME HEALTHCARE LLC
Practice address
45 Chesapeake Dr
Ellenwood, GA 30294-2694
Phone
(678) 670-4567
NPI assigned
Feb 3, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 3, 2026

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

Authorized official

Name
Nolethia Lawrence
Title
Owner
Phone
(678) 670-4567

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

45 Chesapeake Dr
Ellenwood, GA 30294-2694

Mailing address

45 Chesapeake Dr
Ellenwood, GA 30294-2694
Phone (678) 670-4567

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1770076800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1770076800000",
    "number": "1275483612",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "45 CHESAPEAKE DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942694",
            "telephone_number": "678-670-4567"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "45 CHESAPEAKE DR",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302942694",
            "telephone_number": "678-670-4567"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "JOVIAL HOME HEALTHCARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-02-03",
        "last_updated": "2026-02-03",
        "certification_date": "2026-02-03",
        "status": "A",
        "authorized_official_last_name": "LAWRENCE",
        "authorized_official_first_name": "NOLETHIA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "678-670-4567"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Ellenwood, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 3, 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.

Verify at the official NPI Registry.