Everlasting Life Senior Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

EVERLASTING LIFE SENIOR CARE

Practice address

4519 Bronte LN
Douglasville, GA 30135-4967

Phone

(770) 262-0319

NPI assigned

May 16, 2024

Organization subpart

No

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

Authorized official

Name

Ms. Delia Barksdale

Title

Ceo

Phone

(770) 262-0319

Specialties & licenses 2

Addresses

Other names 1

• Everlasting Life Doing business as

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

{
    "created_epoch": "1715817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1715817600000",
    "number": "1992554422",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 5124",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301540003",
            "telephone_number": "770-262-0319"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4519 BRONTE LN",
            "city": "DOUGLASVILLE",
            "state": "GA",
            "postal_code": "301354967",
            "telephone_number": "770-262-0319"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "EVERLASTING LIFE SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-16",
        "last_updated": "2024-05-16",
        "certification_date": "2024-05-16",
        "status": "A",
        "authorized_official_last_name": "BARKSDALE",
        "authorized_official_first_name": "DELIA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-262-0319",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Everlasting Life",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 2024; 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.