Organization Active NPI

Living Wellz Foundation Inc

  • Case Manager/Care Coordinator
  • Milledgeville, GA
National Provider Identifier
1679402804
Registry record updated May 14, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Case Manager/Care CoordinatorTaxonomy code 171M00000X
Legal business name
LIVING WELLZ FOUNDATION INC
Practice address
900 Barrows Ferry Rd NE
Milledgeville, GA 31061-8520
Phone
(347) 283-2880
NPI assigned
May 14, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 14, 2026

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

Authorized official

Name
Mr. Hananiah Joel Nicholas
Title
Executive Director
Phone
(347) 283-2880

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Case Manager/Care CoordinatorGroup: 193200000X MULTI-SPECIALTY GROUP 171M00000X Primary

Addresses

Primary practice location

900 Barrows Ferry Rd NE
Milledgeville, GA 31061-8520

Mailing address

900 Barrows Ferry Rd NE
Milledgeville, GA 31061-8520
Phone (347) 283-2880

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1778716800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1778716800000",
    "number": "1679402804",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "900 BARROWS FERRY RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618520",
            "telephone_number": "347-283-2880"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "900 BARROWS FERRY RD NE",
            "city": "MILLEDGEVILLE",
            "state": "GA",
            "postal_code": "310618520",
            "telephone_number": "347-283-2880"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELLZ FOUNDATION INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-14",
        "last_updated": "2026-05-14",
        "certification_date": "2026-05-14",
        "status": "A",
        "authorized_official_last_name": "NICHOLAS",
        "authorized_official_first_name": "HANANIAH",
        "authorized_official_middle_name": "JOEL",
        "authorized_official_title_or_position": "EXECUTIVE DIRECTOR",
        "authorized_official_telephone_number": "347-283-2880",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "171M00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Case Manager/Care Coordinator",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Milledgeville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 14, 2026; 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.