SACRED SEASONS LIFE CARE
NPI 1831075423
Assisted Living Facility in Dacula, GA

Active since August 12, 2025
715 BAILEY WOODS RD, DACULA, GA 30019(678) 923-3973 Get Directions Write a Review

NPPES record last updated: August 12, 2025. Verified against the NPPES registry weekly; last sync: October 25, 2026.

About Sacred Seasons Life Care NPPES

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

SACRED SEASONS LIFE CARE (NPI 1831075423) is a healthcare organization registered as an assisted living facility in Dacula, Georgia and active in the NPI registry since August 2025. The organization lists Peaesha Lynette Houston, Physician, as its authorized official.

NPPES Registry Identity

NPI1831075423
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameSACRED SEASONS LIFE CARE
Location Address715 BAILEY WOODS RDDacula, GA 30019-1233
Mailing Address470 Dacula Road Po Box 1424, 715 Bailey Woods Road Dacula, Ga 30019Dacula, GA 30019-3001 · (678) 923-3973
Organization SubpartNo
Authorized OfficialPeaesha Lynette HoustonPhysician · (678) 923-3973
Enumeration DateAugust 12, 2025
NPPES CertifiedAugust 12, 2025
✔ NPI 1831075423 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.
715 BAILEY WOODS RD, Dacula, GA 30019

Medicare Participation & PECOS CMS

Medicare enrollment and the clinicians who bill Medicare through this organization, from CMS.

Medicare Enrollment Status

✔

Enrolled in Medicare (PECOS)

Sacred Seasons Life Care is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).

Clinicians Billing Medicare Through This Organization

Medicare enrollment records show 1 clinician reassigns Medicare billing to Sacred Seasons Life Care, which bills Medicare for the services this clinician delivers.

Clinician (1)

Family Practice
NPI 1285054742
4445 S LEE ST STE 105
Buford, GA 30518
(770) 848-9240
✔ PECOS✔ Accepts Medicare8.3 mi

Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

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 Sacred Seasons Life Care's NPI number?

The NPI number for Sacred Seasons Life Care is 1831075423. It was assigned to this organization in the NPPES registry on August 12, 2025.

Where is Sacred Seasons Life Care located?

Sacred Seasons Life Care is located at 715 Bailey Woods Rd, Dacula, GA 30019. The listed phone number is (678) 923-3973.

What is Sacred Seasons Life Care's specialty?

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

Is Sacred Seasons Life Care enrolled in Medicare?

Yes. Sacred Seasons Life Care is registered in the Medicare PECOS enrollment system.

How many clinicians bill Medicare through Sacred Seasons Life Care?

According to the CMS Revalidation Reassignment List (October 2026 release), 1 clinician (Family Practice) reassigns their Medicare billing to Sacred Seasons Life Care. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.

When was this NPI record last updated?

The NPPES record for Sacred Seasons Life Care was last updated on August 12, 2025. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 months 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.