Medpro Independent Living LLC

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

MEDPRO INDEPENDENT LIVING LLC

Doing business as

MedPro Residential Care
MedPro Independent Living LLC

Practice address

1269 Scenic Way SW
Lilburn, GA 30047-6724

Phone

(404) 488-9839

Fax

(800) 504-1362

NPI assigned

May 30, 2026

Organization subpart

No

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

Authorized official

Name

Mrs. Angela Howard

Title

Owner

Phone

(404) 488-9839

Specialties & licenses 1

Addresses

Other names 2

• MedPro Residential Care Doing business as
• MedPro Independent Living LLC Doing business as

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

{
    "created_epoch": "1780099200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1780099200000",
    "number": "1689506271",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1269 SCENIC WAY SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476724",
            "telephone_number": "404-488-9839",
            "fax_number": "800-504-1362"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1269 SCENIC WAY SW",
            "city": "LILBURN",
            "state": "GA",
            "postal_code": "300476724",
            "telephone_number": "404-488-9839",
            "fax_number": "800-504-1362"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "MEDPRO INDEPENDENT LIVING LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-05-30",
        "last_updated": "2026-05-30",
        "certification_date": "2026-05-30",
        "status": "A",
        "authorized_official_last_name": "HOWARD",
        "authorized_official_first_name": "ANGELA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-488-9839",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "MedPro  Residential Care",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "MedPro Independent Living LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• Assisted Living Facility in Lilburn, GA
• Providers in Lilburn, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 30, 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.