Village Living PHC LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

VILLAGE LIVING PHC LLC

Practice address

2807 White Oak LN
Decatur, GA 30032-5510

Phone

(678) 253-2323

NPI assigned

Mar 10, 2025

Organization subpart

No

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

Authorized official

Name

Mr. Duane Donaldson Sr.

Title

Owner/Ceo

Phone

(678) 253-2323

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1741564800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1741564800000",
    "number": "1437958873",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2807 WHITE OAK LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325510",
            "telephone_number": "678-253-2323"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2807 WHITE OAK LN",
            "city": "DECATUR",
            "state": "GA",
            "postal_code": "300325510",
            "telephone_number": "678-253-2323"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "VILLAGE LIVING PHC LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-03-10",
        "last_updated": "2025-03-10",
        "certification_date": "2025-03-10",
        "status": "A",
        "authorized_official_last_name": "DONALDSON",
        "authorized_official_first_name": "DUANE",
        "authorized_official_title_or_position": "OWNER/CEO",
        "authorized_official_telephone_number": "678-253-2323",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 10, 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.