LAKE OCONEE ASSISTED LIVING HOME
NPI 1114121845
Assisted Living Facility - Assisted Living, Behavioral Disturbances in Greensboro, GA

Q: What is Lake Oconee Assisted Living Home's NPI number?

The NPI number for Lake Oconee Assisted Living Home is 1114121845. It was assigned to this organization in the NPPES registry on June 14, 2007.

Q: What is Lake Oconee Assisted Living Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

Active since June 14, 2007

105 WILSON ST, GREENSBORO, GA 30642(706) 453-7155(706) 453-4156 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 16, 2026.

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About Lake Oconee Assisted Living Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LAKE OCONEE ASSISTED LIVING HOME (NPI 1114121845) is a healthcare organization registered as an assisted living, behavioral disturbances in Greensboro, Georgia and active in the NPI registry since June 2007. The organization lists Lillie R Tripp, Owner, as its authorized official.

NPPES Registry Identity

NPI1114121845

Entity TypeOrganization

Primary Taxonomy3104A0630X

Legal Business NameLAKE OCONEE ASSISTED LIVING HOME

Location Address105 WILSON STGreensboro, GA 30642-1426

Mailing AddressPo Box 1152, 105 Wilson StreetGreensboro, GA 30642-8152 · (706) 453-7155 · Fax (706) 453-4156

Phone(706) 453-7155

Fax(706) 453-4156

Organization SubpartNo

Authorized OfficialLillie R TrippOwner · (706) 453-9055

Enumeration DateJune 14, 2007

Last NPPES UpdateAugust 22, 2020

✔ NPI 1114121845 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Behavioral DisturbancesNursing & Custodial Care Facilities

Taxonomy Code3104A0630X

Definition

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.

105 WILSON ST, Greensboro, GA 30642

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Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Lake Oconee Assisted Living Home's NPI number?

The NPI number for Lake Oconee Assisted Living Home is 1114121845. It was assigned to this organization in the NPPES registry on June 14, 2007.

Where is Lake Oconee Assisted Living Home located?

Lake Oconee Assisted Living Home is located at 105 Wilson St, Greensboro, GA 30642. The listed phone number is (706) 453-7155.

What is Lake Oconee Assisted Living Home's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Behavioral Disturbances, with taxonomy code 3104A0630X.

When was this NPI record last updated?

The NPPES record for Lake Oconee Assisted Living Home was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.