Individual provider Active NPI

Elois Rice, LPN

  • Licensed Practical Nurse
  • Kathleen, GA
National Provider Identifier
1477068179
Registry record updated Dec 30, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Licensed Practical NurseTaxonomy code 164W00000X
License
LPN046518 Issued in GA
Practice address
301 Club Villa CT Ste 3
Kathleen, GA 31047-5468
Phone
(478) 218-9031
Fax
(478) 218-0203
NPI assigned
Dec 5, 2017
Sex
Female
Sole proprietor
Yes

NPPES NPI Registry

Updated by the provider on Dec 30, 2024

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

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Licensed Practical Nurse 164W00000X LPN046518 GA Primary

Addresses

Primary practice location

301 Club Villa CT Ste 3
Kathleen, GA 31047-5468

Mailing address

301 Club Villa CT Ste 3
Kathleen, GA 31047-5468
Phone (478) 218-9031

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Not listed in the public Medicare enrollment file

National Provider Directory

National Provider Directory
Medicare enrollment (NPD)
Not enrolled

State licenses

LicenseStateTypeSpecialty
LPN046518GAMDLicensed Practical Nurse

Practice roles

OrganizationSpecialtyStatusNew patients
Company Keepers LLC CurrentSince Mar 20, 2025 Accepting new patients

Locations

301 Club Villa Ct
Ste 3
Kathleen, GA 31047
Phone (478) 218-9031

Organizations & group practices 1

Organizations this provider is connected to: Medicare benefit reassignments (the organization bills Medicare for this provider’s services), Care Compare group memberships and National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1512432000000",
    "enumeration_type": "NPI-1",
    "last_updated_epoch": "1735516800000",
    "number": "1477068179",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "301 CLUB VILLA CT STE 3",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310475468",
            "telephone_number": "478-218-9031",
            "fax_number": "478-218-0203"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "301 CLUB VILLA CT STE 3",
            "city": "KATHLEEN",
            "state": "GA",
            "postal_code": "310475468",
            "telephone_number": "478-218-9031",
            "fax_number": "478-218-0203"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "last_name": "RICE",
        "first_name": "ELOIS",
        "credential": "LPN",
        "sole_proprietor": "YES",
        "sex": "F",
        "enumeration_date": "2017-12-05",
        "last_updated": "2024-12-30",
        "certification_date": "2024-12-30",
        "status": "A"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "",
            "desc": "Licensed Practical Nurse",
            "state": "GA",
            "license": "LPN046518",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kathleen, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 30, 2024; 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.