Organization Active NPI

Ul Living

  • Assisted Living Facility
  • Mableton, GA
National Provider Identifier
1609577881
Registry record updated Aug 27, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
UL LIVING
Practice address
940 Front St SW
Mableton, GA 30126-2233
Phone
(404) 517-4155
NPI assigned
Mar 14, 2023
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 27, 2024

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

Authorized official

Name
Tia Drain
Title
Director
Phone
(404) 517-4155

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Assisted Living Facility 310400000X Primary
Assisted Living Facility (Mental Illness) 3104A0625X
Assisted Living Facility (Behavioral Disturbances) 3104A0630X

Addresses

Primary practice location

940 Front St SW
Mableton, GA 30126-2233

Mailing address

7173E Covington Hwy
Ste 9B-1859
Lithonia, GA 30058

National Provider Directory

National Provider Directory

Locations

7245 Rockbridge Rd
Ste 3001859
Lithonia, GA 30058

7173 Covington Hwy
Ste 9B1859
Lithonia, GA 30058

940 Front St SW
Mableton, GA 30126
Phone (404) 517-4155

NPI Registry JSON

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

{
    "created_epoch": "1678752000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1724716800000",
    "number": "1609577881",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7173E COVINGTON HWY",
            "address_2": "STE 9B-1859",
            "city": "LITHONIA",
            "state": "GA",
            "postal_code": "30058"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "940 FRONT ST SW",
            "city": "MABLETON",
            "state": "GA",
            "postal_code": "301262233",
            "telephone_number": "404-517-4155"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "UL LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-03-14",
        "last_updated": "2024-08-27",
        "certification_date": "2024-08-23",
        "status": "A",
        "authorized_official_last_name": "DRAIN",
        "authorized_official_first_name": "TIA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "404-517-4155"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0630X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Behavioral Disturbances",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mableton, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 27, 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.