Georgia Life Links

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

014100LGB Issued in GA

Legal business name

GEORGIA LIFE LINKS

Practice address

1544 Venetian Dr SW
Atlanta, GA 30311-3550

Phone

(404) 755-3197

NPI assigned

Oct 24, 2016

Organization subpart

No

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

Authorized official

Name

Marion Elaine Reese-Thompson

Title

Ceo

Phone

(404) 755-3197

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1477267200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477267200000",
    "number": "1417408519",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1544 VENETIAN DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113550",
            "telephone_number": "404-755-3197"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1544 VENETIAN DR SW",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303113550",
            "telephone_number": "404-755-3197"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "GEORGIA LIFE LINKS",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-24",
        "last_updated": "2016-10-24",
        "status": "A",
        "authorized_official_last_name": "REESE-THOMPSON",
        "authorized_official_first_name": "MARION",
        "authorized_official_middle_name": "ELAINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "404-755-3197"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "GA",
            "license": "014100LGB",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Georgia Institute of Technology Stamps Health Services
• Georgia Integrated Behavioral Healthcare
• Georgia Interventional and Vascular Specialists, PC
• Georgia IV Therapy Services, LLC
• Georgia Kidney Care Center
• Georgia Life Services, Inc
• Georgia Litho Group LLLP
• Georgia Luna Care Physical Therapy LLC
• Georgia Maternal Fetal Medicine
• Georgia Medical EMS LP

• Adult Care Home Facility in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Adult Care Home Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 24, 2016; 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.