Active NPI
Living Healthy Solutions, LLC C/O Seva
- Prosthetic/Orthotic Supplier
- Roswell, GA
National Provider Identifier
1336544923
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Prosthetic/Orthotic Supplier
- License
- 1744P3200X
- 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, 2014
- 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
- Kelli Bourgeois
- Title
- VP, Account Management
- Phone
- (404) 919-2088
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
National Provider Directory
National Provider DirectoryLocations
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.