P Praxis·MD
● Active Type 2 · Organization

Lake Oconee Assisted Living, Llc

Assisted Living Facility·Greensboro, GA· NPI 1194917617 · Enumerated 2007 · 18 years on NPI
Lake Oconee Assisted Living, Llc is 1 of 12 assisted living facility organizations in Georgia.
NPI age
18 years
Enumerated 2007-08-17
Primary specialty
Assisted Living Facility
Plus 2 secondary
Practice locations
2
1 secondary on file
Status
Active
No deactivations on record
Authorized official
Tripp
Controlling Manager
Last NPPES update
2022-07-21
Source: monthly bulk 2026-05

How this organization compares

Across 12 active assisted living facility providers in Georgia.

NPI age
18 years
↑ 5 yr above median
Practice locations
2
1 secondary on file
Subspecialties
2
In the 33% of peers with subspecialties

NPI lifetime · 2007 → 2026

2007-08Enumerated in NPPES
2007 2026

Where they practice

Primary practice location
107 E Broad St
Greensboro, GA 306421337
📞 7064539055fax 7064534156
Mailing address
107 E Broad St, P.o. Box 1152
Greensboro, GA 306421337
📞 7064539055fax 7064534156

Additional practice locations

1 secondary location on file with NPPES.

Location 2
732 Linton Rd
Sparta, GA 310873033
📞 7068179618fax 7064534156

Authorized official

Lillie R. Tripp
Controlling Manager
📞 7064539055

Individual providers at this organization

1 individual provider on file at this primary practice address.

Specialties

  • Assisted Living Facility Primary
    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...
    GA license #CLA001142 taxonomy 3104A0630X
  • Clinic/Center
    Definition to come...
    taxonomy 261QA0600X
  • Clinic/Center
    An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays...
    taxonomy 261QD1600X

Other names on file (1)

Doing-business-as, former, and alternate names recorded by NPPES.

  • Kingdom Care Service Center
    Type code 3 recorded 2017-09-17

Practice context

Multi-provider organization. 1 individual provider on file at this primary address. Plus 1 secondary practice location.

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How to verify this organization

  1. Confirm the NPI on NPPES.The CMS registry is the system of record. Open NPPES →
  2. Verify the organization is in good standing.Cross-check with the state's business registration and any applicable licensing boards.
  3. Confirm payer enrollment if billing.NPI presence does not guarantee active enrollment with Medicare, Medicaid, or commercial payers.

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