BOLTON LIVING AGENCY
NPI 1629411277
Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Newnan, GA

Active since April 14, 2013
40 LANTANA WAY, NEWNAN, GA 30265(706) 569-1133 Get Directions Write a Review

NPPES record last updated: February 8, 2017. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Bolton Living Agency NPPES

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

BOLTON LIVING AGENCY (NPI 1629411277) is a healthcare organization registered as a community based residential treatment facility, intellectual and/or developmental disabilities in Newnan, Georgia and active in the NPI registry since April 2013. The organization lists Zephaniah Dwayne Baker, President, as its authorized official.

NPPES Registry Identity

NPI1629411277
Entity TypeOrganization
Primary Taxonomy320900000X
Legal Business NameMAJESTIC SUNZ LIFE CENTER
Location Address40 LANTANA WAYNewnan, GA 30265-4171
Mailing Address1091 Bolton CtColumbus, GA 31906-2616
Organization SubpartNo
Authorized OfficialZephaniah Dwayne BakerPresident · (706) 587-3906
Enumeration DateApril 14, 2013
Last NPPES UpdateFebruary 8, 2017
NPI 1629411277 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 3

Taxonomy Code320900000X
License Licensed · CLA001048
Definition
A home-like residential facility providing habilitation, support and monitoring services to individuals diagnosed with mental retardation and/or developmental disabilities.
Also ListedHome HealthTaxonomy 251E00000X · License 038-R-1778 (GA)
Also ListedSkilled Nursing FacilityTaxonomy 314000000X · License 038-R-1778 (GA)
40 LANTANA WAY, Newnan, GA 30265

Other Names 1

Doing Business AsBolton Living Agency

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 Majestic Sunz Life Center's NPI number?

The NPI number for Majestic Sunz Life Center is 1629411277. It was assigned to this organization in the NPPES registry on April 14, 2013. The provider is doing business as Bolton Living Agency.

Where is Majestic Sunz Life Center located?

Majestic Sunz Life Center is located at 40 Lantana Way, Newnan, GA 30265. The listed phone number is (706) 569-1133.

What is Majestic Sunz Life Center's specialty?

The primary specialty registered for this NPI is Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320900000X.

When was this NPI record last updated?

The NPPES record for Majestic Sunz Life Center was last updated on February 8, 2017. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.