Lucienne Home Care LLC

Primary specialty

Nursing Care AgencyTaxonomy code 251J00000X

Legal business name

LUCIENNE HOME CARE LLC

Practice address

2407 Hi Roc Rd NE
Conyers, GA 30012-2541

Phone

(177) 028-5667

NPI assigned

Oct 16, 2020

Organization subpart

No

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

Authorized official

Name

Lucienne B Johnson

Title

Owner

Phone

(167) 878-9073

Specialties & licenses 1

Addresses

Other identifiers 1

Electronic endpoints 1

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1602806400000",
    "number": "1730787136",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2407 HI ROC RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300122541",
            "telephone_number": "177-028-5667"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2407 HI ROC RD NE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300122541",
            "telephone_number": "177-028-5667"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LUCIENNE HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2020-10-16",
        "certification_date": "2020-10-16",
        "status": "A",
        "authorized_official_last_name": "JOHNSON",
        "authorized_official_first_name": "LUCIENNE",
        "authorized_official_middle_name": "B",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "167-878-9073"
    },
    "taxonomies": [
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "PHCP010882",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "DIRECT",
            "endpointTypeDescription": "Direct Messaging Address",
            "endpoint": "ljohnson@luciennehomecare.com",
            "affiliation": "N",
            "address_1": "2407 Hi Roc Rd NE",
            "city": "Conyers",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300122541",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

• Shannah Lowe
• Consuela Lowery
• Grace Chua Loy, MD
• Lakora Loyd, MBA
• LTC Consulting, L.P.
• Sharon Wheelock Ludlow
• Inge C Luechinger, APRNPMH
• Brittne Luke, LMSW
• Christina A Lundy
• Luxottica of America Inc

• Nursing Care Agency in Conyers, GA
• Providers in Conyers, GA by specialty
• Nursing Care Agency in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 16, 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.