LIFE TIME HOME CARE SERVICES (NPI# 1326223702) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1326223702 |
| Entity Type | Organization |
| Organization Name | LIFE TIME HOME CARE SERVICES |
| Other Organization Name | LIFE TIME HOME CARE SERVICES |
| Practice Address |
577 Pine Valley Dr Suite 200 Powder Springs GA 30127-6629 |
| Mailing Address |
577 Pine Valley Dr Suite 200 Powdr Spring GA 30127 |
| Practice Telephone | 6785238082 |
| Practice Fax Number | 6785675246 |
| Mailing Telephone | 6785238082 |
| Mailing Fax Number | 6755675246 |
| Enumeration Date | 2008-01-04 |
| Last Update Date | 2008-01-04 |
| Authorized Official Name | MRS. BETTY KELLY LEE (DIRECTOR/OWENER) |
| Authorized Official Telephone | 6785238082 |
| Authorized Official Credential | ETC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 261QH0100X |
Clinic/Center Specialization: Health Service |
110R0225 | GA | Ambulatory Health Care Facilities |
| Y | 251E00000X | Home Health | 110-R-0225 | GA | Agencies |
| Other Name | Type Code |
|---|---|
| life time home care services | Former Legal Business Name - Organization |
| Street Address |
577 PINE VALLEY DR SUITE 200 |
| City | POWDER SPRINGS |
| State | GA |
| Zip Code | 30127-6629 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851531198 | Life Time Home Care | Home Health | 577 Pine Valley Dr, Powder Springs, GA 30127-6629 | 2009-02-26 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1922580935 | Judette Barthelemy | Nurse Practitioner | 5280 Jones Reserve Walk, Powder Springs, GA 30127 | 2018-09-06 |
| 1174049837 | Patricia Anderson | Home Health Aide | 4089 Sweetsprings Terrace Southwest, Powder Springs, GA 30127 | 2017-08-15 |
| 1972028777 | Jonathan J Jones Jr. | Technician | 4089 Sweetsprings Terrace Sw, Powder Springs, GA 30127 | 2017-08-14 |
| 1124575279 | Thomas Jones | Private Vehicle | 3271 Barnwell Trce, Powder Springs, GA 30127 | 2016-09-07 |
| 1194184598 | Francesca Momplaisir | Chiropractor | 4851 Saddlerun Ln, Powder Springs, GA 30127 | 2016-02-15 |
| 1639535073 | Yonide Lareche | Nurse Practitioner | 184 Windriver Trik, Powderspring, GA 30127 | 2016-01-14 |
| 1740607035 | Health Star Home Health Care LLC | Home Health | 2148 Chaseford Ln, Powder Springs, GA 30127 | 2014-03-25 |
| 1073850855 | Charles Cordaro | Pharmacist | 2000 East West Connector, Health Services Center, 1st Floor - Pharmacy, Austell, GA 30127 | 2013-01-14 |
| 1669748539 | Scott Gynecology & Pelvic Surgery, P.C. | Obstetrics & Gynecology | 5041 Dallas Highway, Building 1, Suite G, Powder Springs, GA 30127 | 2012-03-26 |
| 1265706576 | Danielle Olivier Mental Health Services | Community/Behavioral Health | 3468 Hollow Stream Trail, Powder Prings, GA 30127 | 2012-03-05 |
| Find all providers in zip 30127 | ||||
| Taxonomy Code | 251E00000X |
| Grouping | Agencies |
| Classification | Home Health |
| A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. |
| Notes: Source: CFR42 Chapter IV Part 484, http://www.access.gpo.gov/nara/cfr/waisidx_99/42cfr484_99.html [7/1/2007: definition added, source added] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1740888437 | Arose Home Care Services,llc | Home Health | 3374 Stone Path Way, Powder Springs, GA 30127-5329 | 2020-10-14 |
| 1154960672 | Lucky Addeh | Home Health | 1440 Paddocks Ct, Powder Springs, GA 30127-5514 | 2019-12-31 |
| 1831752856 | America 1st Home Care, Inc | Home Health | 3630 Sunset Rdg, Powder Springs, GA 30127-4505 | 2019-04-16 |
| 1285135657 | Reliable Homecare of Georgia,llc | Home Health | 4480 Worthings Ct, Powder Springs, GA 30127-1471 | 2018-02-21 |
| 1184167538 | Angelic Companions Care Services, LLC | Home Health | 5468 Hiram Lithia Springs Rd, Powder Springs, GA 30127-3512 | 2016-12-02 |
| 1457802381 | Debest Quality Private Home Care Inc | Home Health | 2210 Noelle Pl, Powder Springs, GA 30127-5620 | 2016-10-15 |
| 1932558897 | Extended Family Support | Home Health | 5077 Dallas Hwy, Suite 301, Powder Springs, GA 30127-4508 | 2016-06-10 |
| 1750753133 | Jorge Caraballo | Home Health | 5672 Harbormist Dr, Powder Springs, GA 30127-6963 | 2015-10-26 |
| 1740607035 | Health Star Home Health Care LLC | Home Health | 2148 Chaseford Ln, Powder Springs, GA 30127 | 2014-03-25 |
| 1114273018 | Michester Inc | Home Health | 4147 Defoors Farm Dr, Powder Springs, GA 30127-4078 | 2012-07-28 |
| Find all providers in POWDER SPRINGS | ||||
| City | POWDER SPRINGS |
| Zip Code | 30127 |
Please comment or provide details below to improve the information on LIFE TIME HOME CARE SERVICES.
| 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.