Organization Active NPI

Living Hope Home Care LLC

  • Home Health Agency
  • College Park, GA
National Provider Identifier
1598265142
Registry record updated Feb 20, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVING HOPE HOME CARE LLC
Practice address
4854 Old National Hwy Ste 204
College Park, GA 30337-6245
Phone
(401) 241-7859
NPI assigned
Feb 20, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 20, 2018

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

Authorized official

Name
Nelson Tenebe, RN
Title
Admin / Clinical Supervisor
Phone
(401) 241-7859

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X GA Primary

Addresses

Primary practice location

4854 Old National Hwy Ste 204
College Park, GA 30337-6245

Mailing address

509 Plumb Branch CT
McDonough, GA 30253-7585
Phone (401) 241-7859

National Provider Directory

National Provider Directory

Locations

4854 Old National Hwy
Ste 204
College Park, GA 30337
Phone (401) 241-7859

NPI Registry JSON

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

{
    "created_epoch": "1519084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1519084800000",
    "number": "1598265142",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 PLUMB BRANCH CT",
            "city": "MCDONOUGH",
            "state": "GA",
            "postal_code": "302537585",
            "telephone_number": "401-241-7859"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4854 OLD NATIONAL HWY STE 204",
            "city": "COLLEGE PARK",
            "state": "GA",
            "postal_code": "303376245",
            "telephone_number": "401-241-7859"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING HOPE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-20",
        "last_updated": "2018-02-20",
        "status": "A",
        "authorized_official_last_name": "TENEBE",
        "authorized_official_first_name": "NELSON",
        "authorized_official_title_or_position": "ADMIN / CLINICAL SUPERVISOR",
        "authorized_official_telephone_number": "401-241-7859",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "GA",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in College Park, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2018; 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.