NPIMap

Organization Active NPI

Healthy You Lifestyle Center

  • Case Management Agency
  • Alpharetta, GA
National Provider Identifier
1619446440
Registry record updated Nov 22, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Management AgencyTaxonomy code 251B00000X
Legal business name
HEALTHY YOU LIFESTYLE CENTER
Practice address
13225 Caris CT
Alpharetta, GA 30009-3249
Phone
(919) 656-1029
NPI assigned
Nov 22, 2018
Last updated
Nov 22, 2018By the provider in NPPES
Organization subpart
Yes
Parent organization
HEALTHY YOU LIFESTYLE CENTERAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 22, 2018

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

Authorized official

Name
Rajitha Bommakanti, RNNPI 1003399809
Title
President
Phone
(919) 656-1029

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 4

Specialty (taxonomy)CodeLicenseStatePrimary
Case Management Agency 251B00000X Primary
Nursing Care Agency 251J00000X
Community Health Clinic/Center 261QC1500X
Health Service Clinic/Center 261QH0100X

Addresses

Primary practice location

13225 Caris CT
Alpharetta, GA 30009-3249

Mailing address

13225 Caris CT
Alpharetta, GA 30009-3249
Phone (919) 656-1029

Other names 1

  • Healthy You Lifestyle Center Other name

National Provider Directory

National Provider Directory
Part of
Healthy You Lifestyle Center

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1542844800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1542844800000",
    "number": "1619446440",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "13225 CARIS CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093249",
            "telephone_number": "919-656-1029"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "13225 CARIS CT",
            "city": "ALPHARETTA",
            "state": "GA",
            "postal_code": "300093249",
            "telephone_number": "919-656-1029"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "HEALTHY YOU LIFESTYLE CENTER",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "HEALTHY YOU LIFESTYLE CENTER",
        "enumeration_date": "2018-11-22",
        "last_updated": "2018-11-22",
        "status": "A",
        "authorized_official_last_name": "BOMMAKANTI",
        "authorized_official_first_name": "RAJITHA",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "919-656-1029",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "251B00000X",
            "taxonomy_group": "",
            "desc": "Case Management",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QC1500X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Community Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "261QH0100X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Health Service",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Healthy You Lifestyle Center",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Healthy You Lifestyle Center",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Alpharetta, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.