NPIMap

Organization Active NPI

Life Time Home Care Services

  • Home Health Agency
  • Powder Springs, GA
National Provider Identifier
1326223702
Registry record updated Jan 4, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
110-R-0225 Issued in GA
Legal business name
LIFE TIME HOME CARE SERVICES
Practice address
577 Pine Valley Dr
Suite 200
Powder Springs, GA 30127-6629
Phone
(678) 523-8082
Fax
(678) 567-5246
NPI assigned
Jan 4, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 4, 2008

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

Authorized official

Name
Mrs. Betty Kelly Lee, ETC
Title
Director/Owener
Phone
(678) 523-8082

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 110-R-0225 GA Primary
Health Service Clinic/Center 261QH0100X 110R0225 GA

Addresses

Primary practice location

577 Pine Valley Dr
Suite 200
Powder Springs, GA 30127-6629

Mailing address

577 Pine Valley Dr
Suite 200
Powdr Spring, GA 30127
Phone (678) 523-8082

Other names 1

  • life time home care services Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Life Time Home Care2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1199404800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199404800000",
    "number": "1326223702",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "577 PINE VALLEY DR",
            "address_2": "SUITE 200",
            "city": "POWDR SPRING",
            "state": "GA",
            "postal_code": "30127",
            "telephone_number": "678-523-8082",
            "fax_number": "675-567-5246"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "577 PINE VALLEY DR",
            "address_2": "SUITE 200",
            "city": "POWDER SPRINGS",
            "state": "GA",
            "postal_code": "301276629",
            "telephone_number": "678-523-8082",
            "fax_number": "678-567-5246"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE TIME HOME CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-01-04",
        "last_updated": "2008-01-04",
        "status": "A",
        "authorized_official_last_name": "LEE",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "KELLY",
        "authorized_official_title_or_position": "DIRECTOR/OWENER",
        "authorized_official_telephone_number": "678-523-8082",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "ETC"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": "110-R-0225",
            "primary": true
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": "GA",
            "license": "110R0225",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "life time home care services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Powder Springs, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 4, 2008; 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.