Organization Active NPI

Praxis Living Solutions, LLC

  • In Home Supportive Care Agency
  • Conyers, GA
National Provider Identifier
1801311006
Registry record updated Aug 8, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
License
122-R-1845 Issued in GA
Legal business name
PRAXIS LIVING SOLUTIONS, LLC
Practice address
1403 Windy Hill CT SE
Conyers, GA 30013-2971
Phone
(404) 798-9646
NPI assigned
Aug 8, 2017
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 8, 2017

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

Authorized official

Name
Mrs. Niki Tanyell Davis, LPNNPI 1043735244
Title
Owner
Phone
(404) 798-9646

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X 122-R-1845 GA Primary

Addresses

Primary practice location

1403 Windy Hill CT SE
Conyers, GA 30013-2971

Mailing address

1403 Windy Hill CT SE
Conyers, GA 30013-2971

Other identifiers 1

IdentifierTypeStateIssuer
122-R-1845OtherGAPRIVATE HOME CARE PROVIDER

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1502150400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1502150400000",
    "number": "1801311006",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1403 WINDY HILL CT SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132971"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1403 WINDY HILL CT SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132971",
            "telephone_number": "404-798-9646"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PRAXIS LIVING SOLUTIONS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-08-08",
        "last_updated": "2017-08-08",
        "status": "A",
        "authorized_official_last_name": "DAVIS",
        "authorized_official_first_name": "NIKI",
        "authorized_official_middle_name": "TANYELL",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "404-798-9646",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "GA",
            "license": "122-R-1845",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "PRIVATE HOME CARE PROVIDER",
            "identifier": "122-R-1845",
            "state": "GA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 8, 2017; 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.