NPIMap

Organization Active NPI

Life Care & Wisdom Center Personal Care Home

  • Assisted Living Facility
  • Lithonia, GA
National Provider Identifier
1568005338
Registry record updated Oct 23, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
LIFE CARE & WISDOM CENTER PERSONAL CARE HOME
Practice address
5637 La Fleur TRL
Lithonia, GA 30038-2846
Phone
(708) 256-0698
NPI assigned
Oct 23, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 23, 2019

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

Authorized official

Name
Floyd BillupsNPI 1720621592
Title
Ceo
Phone
(708) 256-0698

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

5637 La Fleur TRL
Lithonia, GA 30038-2846

Mailing address

4515 Sunlight CT
Lilburn, GA 30047-4585
Phone (708) 256-0698

Other identifiers 1

IdentifierTypeStateIssuer
BL19-000371OtherGABUSINESS LICENSE

Electronic endpoints 1

TypeEndpointUseAffiliation
Direct Messaging Address floyd@lifecareandwisdom.com Direct

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1571788800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1571788800000",
    "number": "1568005338",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4515 SUNLIGHT CT",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300474585",
            "telephone_number": "708-256-0698"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5637 LA FLEUR TRL",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "300382846",
            "telephone_number": "708-256-0698"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIFE CARE & WISDOM CENTER PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-10-23",
        "last_updated": "2019-10-23",
        "status": "A",
        "authorized_official_last_name": "BILLUPS",
        "authorized_official_first_name": "FLOYD",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "708-256-0698"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "BUSINESS LICENSE",
            "identifier": "BL19-000371",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "floyd@lifecareandwisdom.com",
            "affiliation": "N",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "5637 La Fleur Trl",
            "city": "Lithonia",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300382846",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Lithonia, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 23, 2019; 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.