LIVING WELL PERSONAL CARE HOME LLC
NPI 1134829567
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Hampton, GA

Active since March 06, 2023
10903 WHEELER TRCE, HAMPTON, GA 30228(678) 829-3499(678) 829-3499 Get Directions Write a Review

NPPES record last updated: March 9, 2023. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Living Well Personal Care Home Llc NPPES

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

LIVING WELL PERSONAL CARE HOME LLC (NPI 1134829567) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Hampton, Georgia and active in the NPI registry since March 2023. The organization lists Angenette Yvonne Agama, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1134829567
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLIVING WELL PERSONAL CARE HOME LLC
Location Address10903 WHEELER TRCEHampton, GA 30228-6461
Mailing Address10903 Wheeler TrceHampton, GA 30228-6461 · (678) 829-3499 · Fax (678) 829-3499
Fax(678) 829-3499
Organization SubpartNo
Authorized OfficialAngenette Yvonne AgamaOwner/administrator · (678) 829-3499
Enumeration DateMarch 6, 2023
Last NPPES UpdateMarch 9, 2023
NPPES CertifiedMarch 9, 2023
NPI 1134829567 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
10903 WHEELER TRCE, Hampton, GA 30228

Other Names 1

Doing Business AsLiving Well Personal Care Home Llc

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

Non-emergency Medical Transport (VAN)
10903 WHEELER TRCE
HAMPTON, GA 30228

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 Living Well Personal Care Home LLC's NPI number?

The NPI number for Living Well Personal Care Home LLC is 1134829567. It was assigned to this organization in the NPPES registry on March 6, 2023.

Where is Living Well Personal Care Home LLC located?

Living Well Personal Care Home LLC is located at 10903 Wheeler Trce, Hampton, GA 30228. The listed phone number is (678) 829-3499.

What is Living Well Personal Care Home LLC's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Living Well Personal Care Home LLC was last updated on March 9, 2023. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 3 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.