LIFE WELLNESS GROUP OF ATLANTA (NPI# 1235480138) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1235480138 |
| Entity Type | Organization |
| Organization Name | LIFE WELLNESS GROUP OF ATLANTA |
| Practice Address |
145 Wilhemina Drive Ellenwood GA 30294 |
| Practice Telephone | 6788582815 |
| Enumeration Date | 2012-10-02 |
| Last Update Date | 2012-10-02 |
| Authorized Official Name | ROMAN TARPLIN (OWNER/CEO) |
| Authorized Official Telephone | 6788582815 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 332U00000X | Home Delivered Meals | 332U00000X | GA | Suppliers |
| N | 347C00000X | Private Vehicle | 347C00000X | GA | Transportation Services |
| Y | 253Z00000X | In Home Supportive Care | 253Z00000X | GA | Agencies |
| Street Address |
145 WILHEMINA DRIVE |
| City | ELLENWOOD |
| State | GA |
| Zip Code | 30294 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770124323 | Lula Varist Gholson | Counselor | Christian Counselor Ma Lou Gholson, 549 Lamar Drive, Forest Park, GA 30294 | 2019-10-04 |
| 1609428176 | Tykechia Todd | Ambulance | 3644 Caseys Cove, Ellenwood, GA 30294 | 2019-07-15 |
| 1891285243 | Ayana Aqila Thornton | Nurse Practitioner | 5654 Hosea Court, Ellenwood, GA 30294 | 2018-05-11 |
| 1346748837 | Kakethia S. Mack | Nurse Practitioner | 4124 Bosenberry Way, Ellenwood, GA 30294 | 2018-01-30 |
| 1851819312 | Tatiana Marcus | Prosthetist | 3895 Busby Mill Ct., Ellenwood, GA 30294 | 2017-09-05 |
| 1962944991 | Fairview Urgent Care, LLC | Clinic/Center | 4475 West Village Pkwy, Ellenwood, GA 30294 | 2016-11-08 |
| 1982006169 | Kristal Cure | Licensed Practical Nurse | 4057 Madiosn Court, Ellenwood, GA 30294 | 2014-09-19 |
| 1801233515 | 1st Class Learning and Performing Arts | Local Education Agency (LEA) | 5474 Platte Dr, Ellenwood, GA 30294 | 2013-06-04 |
| 1346548450 | William K Holley IIi | Counselor | 2732 Holly Berry Dr, Ellenwood, GA 30294 | 2011-03-14 |
| 1174840268 | Kirsten D Person-ramey | Counselor | 5970 Mt Zion Blvd, Ellenwood, GA 30294 | 2010-04-28 |
| Find all providers in zip 30294 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1679194658 | Tiffany Mitchell | In Home Supportive Care | 3665 Glen Moor Rd, Ellenwood, GA 30294-3780 | 2020-05-01 |
| 1659913648 | Regenia Kiser | In Home Supportive Care | 5595 Hearn Rd, Ellenwood, GA 30294-3238 | 2019-10-11 |
| 1407212012 | Shirley & Naomi Private Home Care Services & Transportation | In Home Supportive Care | 3723 Arminto Dr, Ellenwood, GA 30294-6663 | 2016-01-12 |
| 1740686765 | Pauline Woodards-respress | In Home Supportive Care | 3189 Noahs Ln, Ellenwood, GA 30294-2473 | 2014-11-19 |
| 1114260346 | Advir Home Care LLC | In Home Supportive Care | 3851 Lincoln Jones Rd Ste B, Ellenwood, GA 30294-1828 | 2013-04-06 |
| 1083840805 | Top of The Line Healthcare | In Home Supportive Care | 4818 Mitchells Ridge Dr, Ellenwood, GA 30294-6631 | 2009-06-08 |
| 1235376856 | Peaceful Activities, Inc. | In Home Supportive Care | 60 Bowden Rd, Ellenwood, GA 30294-2606 | 2009-01-20 |
| 1568901395 | Advir Health Care Systems LLC | In Home Supportive Care | 3851 Lincoln Jones Rd Ste B, Ellenwood, GA 30294-1828 | 2017-02-13 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1336740356 | Charlies Angels Care Corp | In Home Supportive Care | 525 W Broad St, Twin City, GA 30471-4187 | 2020-11-05 |
| 1316547433 | Xl Promise Home Care LLC | In Home Supportive Care | 102 Highland Park Trl, Sandy Springs, GA 30350-3392 | 2020-10-28 |
| 1639779960 | Caring House Home Care Services, LLC | In Home Supportive Care | 1100 Pittsburgh Ave, White Plains, GA 30678 | 2020-10-27 |
| 1518565159 | First Choice Home Health Care LLC | In Home Supportive Care | 600 Westridge Parkway, Suite 707, Mcdonough, GA 30253 | 2020-10-15 |
| 1871100123 | Angella Miller | In Home Supportive Care | 326 Carrington Ln, Douglasville, GA 30135-6712 | 2020-09-29 |
| 1366059222 | Esther Home Care Services LLC | In Home Supportive Care | 3153 Chapel Rd Nw, Kennesaw, GA 30144-4203 | 2020-09-25 |
| 1538776570 | Superior Home Care Services, LLC | In Home Supportive Care | 2242 Young America Dr, Lawrenceville, GA 30043-8011 | 2020-09-24 |
| 1548876816 | Dwe-bah Home Care LLC. | In Home Supportive Care | 1991 Roxey Ln, Winder, GA 30680-6124 | 2020-09-21 |
| 1174138416 | Crossley Seniorcare LLC | In Home Supportive Care | 4321 S Lee St Ste 400, Buford, GA 30518-5776 | 2020-09-14 |
| 1427662634 | V E Health Services LLC | In Home Supportive Care | 3164 Town and Country Road, Donalsonville, GA 39845 | 2020-09-04 |
| Find all providers with the same taxonomy | ||||
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.