NPIMap

Organization Active NPI

LD Healthcare Service, LLC

  • Nurse's Aide
  • Lawrenceville, GA
National Provider Identifier
1962047597
Registry record updated Nov 7, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nurse's AideTaxonomy code 376K00000X
Legal business name
LD HEALTHCARE SERVICE, LLC
Practice address
1976 Alcovy Trace Way
Lawrenceville, GA 30045-7937
Phone
(770) 648-2267
Fax
(229) 389-2638
NPI assigned
Nov 7, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 7, 2019

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

Authorized official

Name
Robbin Lawson, RNNPI 1992350847
Title
Owner/Administrator
Phone
(770) 648-2267

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
Nurse's AideGroup: 193400000X SINGLE SPECIALTY GROUP 376K00000X Primary

Addresses

Primary practice location

1976 Alcovy Trace Way
Lawrenceville, GA 30045-7937

Mailing address

1976 Alcovy Trace Way
Lawrenceville, GA 30045-7937
Phone (770) 648-2267

Other identifiers 2

IdentifierTypeStateIssuer
003223819AMedicaidGA
003223819BMedicaidGA

Other names 1

  • LD healthcare Service, LLC Doing business as

Electronic endpoints 1

TypeEndpointUseAffiliation
Other URL ldhomehealthcare@yahoo.com

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": "1573084800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1573084800000",
    "number": "1962047597",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1976 ALCOVY TRACE WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457937",
            "telephone_number": "770-648-2267",
            "fax_number": "229-389-2638"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1976 ALCOVY TRACE WAY",
            "city": "LAWRENCEVILLE",
            "state": "GA",
            "postal_code": "300457937",
            "telephone_number": "770-648-2267",
            "fax_number": "229-389-2638"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LD HEALTHCARE SERVICE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-11-07",
        "last_updated": "2019-11-07",
        "status": "A",
        "authorized_official_last_name": "LAWSON",
        "authorized_official_first_name": "ROBBIN",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "770-648-2267",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "376K00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Nurse's Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003223819A",
            "state": "GA"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "003223819B",
            "state": "GA"
        }
    ],
    "endpoints": [
        {
            "endpointType": "OTHERS",
            "endpointTypeDescription": "Other URL",
            "endpoint": "ldhomehealthcare@yahoo.com",
            "affiliation": "N",
            "endpointDescription": "email",
            "address_1": "1976 Alcovy Trace Way",
            "city": "Lawrenceville",
            "state": "GA",
            "country_code": "US",
            "postal_code": "300457937",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": [
        {
            "organization_name": "LD healthcare Service, LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Lawrenceville, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 7, 2019; 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.