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PHENOMENAL LIVING LLC
NPI 1679050454
Assisted Living Facility - Assisted Living, Mental Illness in Savannah, GA

Active since July 24, 2018
2410 BON AIR DR, SAVANNAH, GA 31406(912) 328-7679(912) 234-0493 Get Directions Write a Review

NPPES record last updated: December 17, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

Record update history: Dec 17, 2020, Jul 24, 2018 (2 updates tracked since 2018).

About Phenomenal Living Llc NPPES

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

PHENOMENAL LIVING LLC (NPI 1679050454) is a healthcare organization registered as an assisted living, mental illness in Savannah, Georgia and active in the NPI registry since July 2018. The organization maintains a secondary practice location in Savannah and lists Jeraldine Geneva Love, Owner, as its authorized official.

NPPES Registry Identity

NPI1679050454
Entity TypeOrganization
Primary Taxonomy3104A0625X
Legal Business NamePHENOMENAL LIVING LLC
Location Address2410 BON AIR DRSavannah, GA 31406-2908
Mailing Address2410 Bon Air DrSavannah, GA 31406-2908 · (912) 328-7679 · Fax (912) 234-0493
Phone(912) 328-7679
Fax(912) 234-0493
Organization SubpartNo
Authorized OfficialJeraldine Geneva LoveOwner · (912) 436-5110
Enumeration DateJuly 24, 2018
Last NPPES UpdateDecember 17, 20202 updates tracked since enumeration
NPPES CertifiedDecember 17, 2020
✔ NPI 1679050454 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 2

★ Primary SpecialtyAssisted Living Facility · Assisted Living, Mental IllnessNursing & Custodial Care Facilities
Taxonomy Code3104A0625X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies.
Also ListedRegistered Nurse · Home HealthTaxonomy 163WH0200X · License CN0012346961 (GA)
2410 BON AIR DR, Savannah, GA 31406
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Secondary Practice Location 1

Location 1604 South St., 604 South StSavannah, GA 31405 · Phone (912) 436-5110 · Fax (912) 234-0493

Group Practice 1

Group TaxonomyThis provdier is a business group of one or more individual practitioners, all of who practice with the same area of specialization.193400000X SINGLE SPECIALTY GROUP

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 Phenomenal Living LLC's NPI number?

The NPI number for Phenomenal Living LLC is 1679050454. It was assigned to this organization in the NPPES registry on July 24, 2018.

Where is Phenomenal Living LLC located?

Phenomenal Living LLC is located at 2410 Bon Air Dr, Savannah, GA 31406. The listed phone number is (912) 328-7679.

What is Phenomenal Living LLC's specialty?

The primary specialty registered for this NPI is Assisted Living Facility, specializing in Assisted Living, Mental Illness, with taxonomy code 3104A0625X.

When was this NPI record last updated?

The NPPES record for Phenomenal Living LLC was last updated on December 17, 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.