Organization Active NPI

Living Healthy Solutions, LLC C/O Seva

  • Prosthetic/Orthotic Supplier
  • Roswell, GA
National Provider Identifier
1336544923
Registry record updated Oct 26, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Prosthetic/Orthotic SupplierTaxonomy code 335E00000X
License
1744P3200X Issued in GA
Legal business name
LIVING HEALTHY SOLUTIONS, LLC C/O SEVA
Practice address
970 Mansell Rd
Suite 100
Roswell, GA 30076-1506
Phone
(404) 919-2088
Fax
(708) 294-1284
NPI assigned
Oct 26, 2014
Last updated
Oct 26, 2014By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2014

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

Authorized official

Name
Kelli Bourgeois
Title
VP, Account Management
Phone
(404) 919-2088

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Prosthetic/Orthotic Supplier 335E00000X 1744P3200X GA Primary

Addresses

Primary practice location

970 Mansell Rd
Suite 100
Roswell, GA 30076-1506

Mailing address

2870 Peachtree Rd NW
#315
Atlanta, GA 30305-2918

Other names 1

  • National Hair Loss Centers Other name

National Provider Directory

National Provider Directory

Locations

970 Mansell Rd
Ste 100
Roswell, GA 30076
Phone (404) 919-2088

NPI Registry JSON

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

{
    "created_epoch": "1414281600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1414281600000",
    "number": "1336544923",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2870 PEACHTREE RD NW",
            "address_2": "#315",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303052918"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "970 MANSELL RD",
            "address_2": "SUITE 100",
            "city": "ROSWELL",
            "state": "GA",
            "postal_code": "300761506",
            "telephone_number": "404-919-2088",
            "fax_number": "708-294-1284"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HEALTHY SOLUTIONS, LLC C/O SEVA",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-26",
        "last_updated": "2014-10-26",
        "status": "A",
        "authorized_official_last_name": "BOURGEOIS",
        "authorized_official_first_name": "KELLI",
        "authorized_official_title_or_position": "VP, ACCOUNT MANAGEMENT",
        "authorized_official_telephone_number": "404-919-2088"
    },
    "taxonomies": [
        {
            "code": "335E00000X",
            "taxonomy_group": "",
            "desc": "Prosthetic/Orthotic Supplier",
            "state": "GA",
            "license": "1744P3200X",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "National Hair Loss Centers",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Roswell, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2014; 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.