Maison Health and Supportive Living LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

MAISON HEALTH AND SUPPORTIVE LIVING LLC

Practice address

603 N Main St
Moultrie, GA 31768-3319

Phone

(866) 624-7660

NPI assigned

May 22, 2025

Last updated

May 23, 2025By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Kayla LaneNPI 1023701307

Title

Ceo

Phone

(706) 207-5860

Specialties & licenses 2

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Kayla Livingston Lane, PMHNP-BC

  • Psychiatric/Mental Health Nurse Practitioner
  • Rome, GA
  • NPI 1023701307
  NPD Authorized official

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

{
    "created_epoch": "1747872000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1747958400000",
    "number": "1376336453",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "136 SOUTHLAKE DR",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317687945"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "603 N MAIN ST",
            "city": "MOULTRIE",
            "state": "GA",
            "postal_code": "317683319",
            "telephone_number": "866-624-7660"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MAISON HEALTH AND SUPPORTIVE LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-22",
        "last_updated": "2025-05-23",
        "certification_date": "2025-05-23",
        "status": "A",
        "authorized_official_last_name": "LANE",
        "authorized_official_first_name": "KAYLA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "706-207-5860"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": "NU",
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Dexter Wayne Love, MD
• Christine Anne Lurie, DO
• Linda Lyles, NP-C
• Michael Magat, DO
• Magnolia Wellness Group LLC
• Noman Ahmed Malik, M.D.
• Laura Malone
• Pavan Manchikalapati, M.D.
• Michael Donald Marable, DMD
• Marion Counseling Services Inc

• In Home Supportive Care Agency in Moultrie, GA
• Providers in Moultrie, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 23, 2025; 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.