ILIVE HOME CARE SERVICES
NPI 1093175689
In Home Supportive Care in Winston, GA

Active since February 25, 2016
6957 PINE SHADOW WAY, WINSTON, GA 30187(678) 540-4446(678) 540-4426 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: July 19, 2026.

Record update history: Jul 21, 2022, Feb 25, 2016 (2 updates tracked since 2016).

  • Organization
  • In Home Supportive Care

About ILIVE HOME CARE SERVICES

This page provides the complete NPI Profile along with additional information for Ilive Home Care Services, a provider established in Winston, Georgia operating as a In Home Supportive Care. The healthcare provider is registered in the NPI registry with number 1093175689 assigned on February 2016. The practitioner's primary taxonomy code is 253Z00000X. The provider is registered as an organization and their NPI record was last updated 4 years ago. The authorized official of this NPI record is Itelya Jackson (Owner)

NPI
1093175689 Verify this NPI
Provider Name
ILIVE HOME CARE SERVICES
Entity Type
Organization
Location Address
6957 PINE SHADOW WAY WINSTON, GA 30187
Location Phone
(678) 540-4446
Location Fax
(678) 540-4426
Mailing Address
8491 HOSPITAL DRIVE #135 DOUGLASVILLE, GA 30134
Mailing Phone
(678) 540-4446
Mailing Fax
(678) 540-4426
Is Sole Proprietor?
No
Is Organization Subpart?
No
Enumeration Date
02-25-2016
Last Update Date
07-21-2022
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Specialty - Primary Taxonomy

The NPI enumerator requires providers to submit at least one taxonomy code. A taxonomy code is a unique 10-character code that describes the healthcare provider type, classification, and the area of specialization. There could be only one primary taxonomy code per NPI record. For individual NPIs the license data is associated to the taxonomy code.

Classification

In Home Supportive Care

Taxonomy Code
253Z00000X
Type
Agencies
License State
GA
Taxonomy Description
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.

Authorized Official

The authorized official is the designated individual with the legal authority to make changes to the provider’s official NPI record. For organizations, the authorized official must be a general partner, chairman of the board, CEO, CFO or a direct owner holding at least a 5 percent stake in the medical organization.

Authorized Official Name

ITELYA JACKSON

Authorized Official Title
OWNER
Authorized Official Phone
(678) 540-4446

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Other Providers at the Same Location


The following 1 provider is registered at the same or a nearby location.

In Home Supportive Care
6957 PINE SHADOW WAY
WINSTON, GA 30187

Frequently Asked Questions

The NPI number assigned to this healthcare provider is 1093175689, enumerated as an "organization" on February 25, 2016.

The provider is located at 6957 PINE SHADOW WAY WINSTON, GA 30187 and the phone number is (678) 540-4446.

In Home Supportive Care with taxonomy code 253Z00000X.