LEISURE LIFE CARE HOME INC
NPI 1811032030
Assisted Living Facility in Unadilla, GA

Active since February 21, 2007
301 BEACHAM STREET, UNADILLA, GA 31091(478) 892-2058(478) 892-2058 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Leisure Life Care Home Inc NPPES

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

LEISURE LIFE CARE HOME INC (NPI 1811032030) is a healthcare organization registered as an assisted living facility in Unadilla, Georgia and active in the NPI registry since February 2007. The organization lists Dora Watson, Pres, as its authorized official.

NPPES Registry Identity

NPI1811032030
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameLEISURE LIFE CARE HOME INC
Location Address301 BEACHAM STREETUnadilla, GA 31091
Mailing AddressPo Box 568Hawkinsville, GA 31036 · (478) 892-2058 · Fax (478) 892-2058
Fax(478) 892-2058
Organization SubpartNo
Authorized OfficialDora WatsonPres · (478) 892-2058
Enumeration DateFebruary 21, 2007
Last NPPES UpdateAugust 22, 2020
NPI 1811032030 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
Definition
A facility providing supportive services to individuals who can function independently in most areas of activity, but need assistance and/or monitoring to assure safety and well being.
301 BEACHAM STREET, Unadilla, GA 31091

Other Identifiers 1

Medicaid00535477AGA

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 Leisure Life Care Home Inc's NPI number?

The NPI number for Leisure Life Care Home Inc is 1811032030. It was assigned to this organization in the NPPES registry on February 21, 2007.

Where is Leisure Life Care Home Inc located?

Leisure Life Care Home Inc is located at 301 Beacham Street, Unadilla, GA 31091. The listed phone number is (478) 892-2058.

What is Leisure Life Care Home Inc's specialty?

The primary specialty registered for this NPI is Assisted Living Facility with taxonomy code 310400000X.

When was this NPI record last updated?

The NPPES record for Leisure Life Care Home Inc 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.