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VINE SENIOR CARE LLC
NPI 1831614148
Assisted Living Facility in Flowery Branch, GA

Active since August 08, 2017
5111 SPRING ST, FLOWERY BRANCH, GA 30542(770) 967-7719(770) 967-7719 Get Directions Write a Review

NPPES record last updated: July 21, 2022. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Jul 21, 2022, Aug 8, 2017 (2 updates tracked since 2017).

About Vine Senior Care Llc NPPES

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

VINE SENIOR CARE LLC (NPI 1831614148) is a healthcare organization registered as an assisted living facility in Flowery Branch, Georgia and active in the NPI registry since August 2017. The organization lists Hae Sook Jang, Owner/director, as its authorized official.

NPPES Registry Identity

NPI1831614148
Entity TypeOrganization
Primary Taxonomy310400000X
Legal Business NameVINE SENIOR CARE LLC
Location Address5111 SPRING STFlowery Branch, GA 30542-3343
Mailing Address5111 Spring StFlowery Branch, GA 30542-3343 · (770) 967-7719 · Fax (770) 967-7719
Phone(770) 967-7719
Fax(770) 967-7719
Organization SubpartNo
Authorized OfficialHae Sook JangOwner/director · (678) 576-4282
Enumeration DateAugust 8, 2017
Last NPPES UpdateJuly 21, 20222 updates tracked since enumeration
✔ NPI 1831614148 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyAssisted Living FacilityNursing & Custodial Care Facilities
Taxonomy Code310400000X
License✔ Licensed in GA · PCH009193
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.
5111 SPRING ST, Flowery Branch, GA 30542
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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 Vine Senior Care LLC's NPI number?

The NPI number for Vine Senior Care LLC is 1831614148. It was assigned to this organization in the NPPES registry on August 8, 2017.

Where is Vine Senior Care LLC located?

Vine Senior Care LLC is located at 5111 Spring St, Flowery Branch, GA 30542. The listed phone number is (770) 967-7719.

What is Vine Senior Care LLC'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 Vine Senior Care LLC was last updated on July 21, 2022. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 4 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.