Tree'S of Life Homecare LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

TREE'S OF LIFE HOMECARE LLC

Practice address

517 Brenston CT
Ellenwood, GA 30294-4903

Phone

(770) 688-5763

Fax

(404) 343-1071

NPI assigned

Aug 9, 2022

Organization subpart

Yes

Parent organization

TREE'S OF LIFE HOMECAREAs reported in NPPES

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

Authorized official

Name

Mrs. Wilgenia Lochona Starks, OWN

Title

Administator

Phone

(770) 688-5763

Specialties & licenses 1

Addresses

Other names 1

• Tree's of Life Homecare Other name

Part of

Tree'S of Life Homecare LLC

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

{
    "created_epoch": "1660003200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1660003200000",
    "number": "1730817701",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "517 BRENSTON CT",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944903",
            "telephone_number": "770-688-5763",
            "fax_number": "404-343-1071"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "517 BRENSTON CT",
            "city": "ELLENWOOD",
            "state": "GA",
            "postal_code": "302944903",
            "telephone_number": "770-688-5763",
            "fax_number": "404-343-1071"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "TREE'S OF LIFE HOMECARE LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "TREE'S OF LIFE HOMECARE",
        "enumeration_date": "2022-08-09",
        "last_updated": "2022-08-09",
        "certification_date": "2022-08-04",
        "status": "A",
        "authorized_official_last_name": "STARKS",
        "authorized_official_first_name": "WILGENIA",
        "authorized_official_middle_name": "LOCHONA",
        "authorized_official_title_or_position": "ADMINISTATOR",
        "authorized_official_telephone_number": "770-688-5763",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "OWN"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Tree's of Life Homecare",
            "code": "3",
            "type": "Doing Business As"
        },
        {
            "organization_name": "Tree's of Life Homecare",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 9, 2022; 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.