Active NPI
Georgia Living at Home, LLC
- In Home Supportive Care Agency
- Statesboro, GA
National Provider Identifier
1760086102
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- GEORGIA LIVING AT HOME, LLC
- Practice address
- 203 Donehoo Street
Statesboro, GA 30458-5120 - Phone
- (912) 764-4459
- Fax
- (912) 489-1975
- NPI assigned
- Nov 25, 2020
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mr. James Wesley Wiggins III
- Title
- Director of Operations
- Phone
- (912) 764-4459
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
203 Donehoo Street
Statesboro, GA 30458-5120
Mailing address
203 Donehoo Street
Statesboro, GA 30458-5120
Phone (912) 764-4459
Other names 1
- Abide Home Care
National Provider Directory
National Provider DirectoryLocations
203 Donehoo St
Statesboro, GA 30458
Phone (912) 764-4459
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1606262400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1749513600000",
"number": "1760086102",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "203 DONEHOO STREET",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304585120",
"telephone_number": "912-764-4459",
"fax_number": "912-489-1975"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "203 DONEHOO STREET",
"city": "STATESBORO",
"state": "GA",
"postal_code": "304585120",
"telephone_number": "912-764-4459",
"fax_number": "912-489-1975"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "GEORGIA LIVING AT HOME, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2020-11-25",
"last_updated": "2025-06-10",
"certification_date": "2020-11-25",
"status": "A",
"authorized_official_last_name": "WIGGINS",
"authorized_official_first_name": "JAMES",
"authorized_official_middle_name": "WESLEY",
"authorized_official_title_or_position": "DIRECTOR OF OPERATIONS",
"authorized_official_telephone_number": "912-764-4459",
"authorized_official_name_prefix": "Mr.",
"authorized_official_name_suffix": "III"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Abide Home Care",
"code": "3",
"type": "Doing Business As"
}
]
}
Other providers in Statesboro, GA
- Georgia Anesthesia and Pain Managment
- Georgia CVS Pharmacy LLC
- Georgia Eye Institute of the Southeast, LLC
- Georgia Eye Institute, Inc.
- Georgia Infusion Services, Inc
- Georgia Southern University
- Georgia Southern University
- Georgia Southern University
- Georgia Southern University
- Georgia Southern University
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.