Kingdom Care Service Center

LBN: Lake Oconee Assisted Living, Llc
Kingdom Care Service Center is an health care organization with primary practice located at 107 E Broad St , Greensboro GA 30642-1337. The organization recently has 3 registered licenses in different health care specialties including Ambulatory Health Care Facilities / Adult Day Care, Ambulatory Health Care Facilities / Developmental Disabilities, Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances. Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances is the primary health care specialty. Lake Oconee Assisted Living, Llc can be contacted via phone (706) 453-9055, or through Tripp, Lillie R. via phone (706) 453-9055.

Contact Information

Primary practice address
107 E Broad St Greensboro GA 30642-1337
Phone: (706) 453-9055
Fax: (706) 453-4156
Website:
Map and Directions
Authorized official contact:
Name: Tripp, Lillie R.
Phone: (706) 453-9055

Health care specialties

SpecialtyCodeLicense #State
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Ambulatory Health Care Facilities / Developmental Disabilities 261QD1600X
Nursing & Custodial Care Facilities / Assisted Living, Behavioral Disturbances 3104A0630X CLA001142 Georgia

Profile Details

NPI number 1194917617
LBN Legal business name Lake Oconee Assisted Living, Llc
DBA Doing business as Kingdom Care Service Center
Authorized official Tripp, Lillie R.
Entity Organization
Organization subpart 1 No
Enumeration date Aug 17th, 2007
Last updated Jul 21st, 2022 - about 3 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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