Living Private Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIVING PRIVATE HOME CARE, LLC

Practice address

101 Devant St Ste 105a
Fayetteville, GA 30214-2711

Phone

(404) 604-8266

Fax

(678) 519-1407

NPI assigned

Aug 13, 2020

Organization subpart

No

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

Authorized official

Name

Betty Ann Stripling

Title

Owner

Phone

(404) 604-8266

Specialties & licenses 1

Addresses

Other names 1

• Living Private Home Care, LLC Former legal business name

Locations

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

{
    "created_epoch": "1597276800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1597276800000",
    "number": "1609487487",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 105A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142711",
            "telephone_number": "404-604-8266",
            "fax_number": "678-519-1407"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "101 DEVANT ST STE 105A",
            "city": "FAYETTEVILLE",
            "state": "GA",
            "postal_code": "302142711",
            "telephone_number": "404-604-8266",
            "fax_number": "678-519-1407"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING PRIVATE HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-13",
        "last_updated": "2020-08-13",
        "certification_date": "2020-08-13",
        "status": "A",
        "authorized_official_last_name": "STRIPLING",
        "authorized_official_first_name": "BETTY",
        "authorized_official_middle_name": "ANN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-604-8266"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Private Home Care, LLC",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Living Private Home Care, LLC",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

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• In Home Supportive Care Agency in Fayetteville, GA
• Providers in Fayetteville, GA by specialty
• In Home Supportive Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 13, 2020; 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.