LITCHFIELD HOMES LLC (NPI# 1407191257) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1407191257 |
| Entity Type | Organization |
| Organization Name | LITCHFIELD HOMES LLC |
| Other Organization Name | ELITR CLA |
| Practice Address |
4925 Bridle Point Pkwy Snellville GA 30039-3343 |
| Mailing Address |
4238 Village Square Ln Stone Mountain GA 30083-4270 |
| Practice Telephone | 4042487945 |
| Practice Fax Number | 7706790617 |
| Mailing Telephone | 4042487945 |
| Mailing Fax Number | 7706790617 |
| Enumeration Date | 2012-12-05 |
| Last Update Date | 2012-12-05 |
| Authorized Official Name | MS. COLLEEN ANN BACCHUS (OWNER/CEO) |
| Authorized Official Telephone | 4044686469 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0630X |
Assisted Living Facility Specialization: Assisted Living, Behavioral Disturbances |
Nursing & Custodial Care Facilities |
| Other Name | Type Code |
|---|---|
| Elitr CLA | Doing Business As Name - Organization |
| Street Address |
4925 BRIDLE POINT PKWY |
| City | SNELLVILLE |
| State | GA |
| Zip Code | 30039-3343 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1710593819 | David Spellings | Physical Therapist | 3991 Us-78, Suite 200, Snellville, GA 30039 | 2020-09-23 |
| 1245849785 | Tanner Brown | Physical Therapist | 3991 Us-78 Suite 200, Snellville, GA 30039 | 2020-07-30 |
| 1215571294 | Ora Gylbryne Brown | Behavioral Analyst | 4189 White Road, Snellville, GA 30039 | 2019-11-01 |
| 1780174953 | Kolawole J Adeyeye | Nursing Care | 4729 Polly Pl, Snellville, GA 30039 | 2018-05-14 |
| 1255820007 | Bacchus Private Home Care LLC | Home Health | 4925 Bridle Point Parkway, Snellville, GA 30039 | 2018-05-08 |
| 1508368051 | Sovereign Medical Services, Inc | Community/Behavioral Health | 3806 Wood Hollow Way, Snellville, GA 30039 | 2018-03-01 |
| 1356865265 | Shanique Griffiths | Counselor | 2580 Broadmoor Ct, Snellville, GA 30039 | 2017-08-01 |
| 1265952584 | Miracles In Motion Foundation | Case Management | 4276 Burgomeister Place, Snellville, GA 30039 | 2017-06-27 |
| 1194245704 | Loliya Joy Stewart | Dentist | 3966 Annistown Rd, Snellville, GA 30039 | 2017-06-24 |
| 1023543014 | Natasha Marie Smith | Nurse's Aide | 2423 Northbrook Rd, Snellville, GA 30039 | 2017-04-27 |
| Find all providers in zip 30039 | ||||
| Taxonomy Code | 3104A0630X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Behavioral Disturbances |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1689202681 | Pt Hills Place Terraces LLC | Assisted Living Facility | 229 Peachtree Hills Place, Atlanta, GA 30305 | 2020-03-27 |
| 1477180883 | A Certain Lad Ministries Inc. | Assisted Living Facility | 693 Shannon Way, Lawrenceville, GA 30044-6310 | 2020-03-25 |
| 1174067276 | Care of Latrelle, LLC | Assisted Living Facility | 127 Waverly Way, Savannah, GA 31407-5032 | 2016-12-07 |
| 1760827190 | Distinctively Yours of Georgia, Inc | Assisted Living Facility | 8435 Magnolia Dr, Jonesboro, GA 30238-3132 | 2013-04-29 |
| 1104118108 | Beth'el Personal Care Home | Assisted Living Facility | 4327 Webb Meadows Dr, Loganville, GA 30052-7579 | 2011-05-09 |
| 1003117615 | The Mary Washington Assisted Living Home, Inc | Assisted Living Facility | 590 Mountain Oaks Pkwy, Stone Mountain, GA 30087-4732 | 2010-11-12 |
| 1114121845 | Lake Oconee Assisted Living Home | Assisted Living Facility | 105 Wilson St, Greensboro, GA 30642-1426 | 2007-06-14 |
| 1275898363 | Heavenly Arms Assisted Living | Assisted Living Facility | 11230 Highway 278 E, Covington, GA 30014-1673 | 2012-07-05 |
| 1508151176 | Georgia Residential and Community Healthcare, Inc | Assisted Living Facility | 5644 Hunters Crossing Ct, Lithonia, GA 30038-1529 | 2011-06-12 |
| City | SNELLVILLE |
| Zip Code | 30039 |
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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.