Live Emerge and Persevere LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

LIVE EMERGE AND PERSEVERE LLC

Doing business as

LEAP Private Home Care

Practice address

2169 Forest Ridge Rd SE
Atlanta, GA 30316-4973

Phone

(678) 638-0460

NPI assigned

Oct 5, 2021

Organization subpart

No

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

Authorized official

Name

Ms. Lashanda Nicole Washington, MPH

Title

Owner

Phone

(850) 284-3245

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• LEAP Private Home Care Doing business as

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

{
    "created_epoch": "1633392000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1633392000000",
    "number": "1548922792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2169 FOREST RIDGE RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164973",
            "telephone_number": "678-638-0460"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2169 FOREST RIDGE RD SE",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303164973",
            "telephone_number": "678-638-0460"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE EMERGE AND PERSEVERE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-10-05",
        "last_updated": "2021-10-05",
        "certification_date": "2021-10-05",
        "status": "A",
        "authorized_official_last_name": "WASHINGTON",
        "authorized_official_first_name": "LASHANDA",
        "authorized_official_middle_name": "NICOLE",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "850-284-3245",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "MPH"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOMECARE PROVIDER PERMIT",
            "identifier": "PHCP011213",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LEAP Private Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Nursing Care Agency in Atlanta, GA
• Providers in Atlanta, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 5, 2021; 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.