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REJUVIA HOUSE
NPI 1871161091
Custodial Care Facility - Adult Care Home in Gainesville, GA

Active since June 14, 2021
9160 LAKESIDE WAY, GAINESVILLE, GA 30506(770) 205-5353 Get Directions Write a Review

NPPES record last updated: June 14, 2021. Verified against the NPPES registry weekly; last sync: July 26, 2026.

About Rejuvia House NPPES

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

REJUVIA HOUSE (NPI 1871161091) is a healthcare organization registered as an adult care home in Gainesville, Georgia and active in the NPI registry since June 2021. The organization lists Courtney Breana Ratliff, Administrator & Secretary, as its authorized official.

NPPES Registry Identity

NPI1871161091
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameREJUVIA HOUSE
Location Address9160 LAKESIDE WAYGainesville, GA 30506-6224
Mailing Address9160 Lakeside WayGainesville, GA 30506-6224 · (770) 205-5353
Phone(770) 205-5353
Organization SubpartNo
Authorized OfficialCourtney Breana RatliffAdministrator & Secretary · (843) 680-1694
Enumeration DateJune 14, 2021
NPPES CertifiedJune 14, 2021
✔ NPI 1871161091 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
9160 LAKESIDE WAY, Gainesville, GA 30506
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Other Providers at the Same Location NPPES 2

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

COURTNEY BREANA RATLIFF MBA, ADM, MPM
Nursing Home Administrator
9160 LAKESIDE WAY
GAINESVILLE, GA 30506
Hall County (770) 205-5353
DAVID FAIRCLOTH
Technician (Attendant Care Provider)
9160 LAKESIDE WAY
GAINESVILLE, GA 30506
Hall County (678) 777-3441

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 Rejuvia House's NPI number?

The NPI number for Rejuvia House is 1871161091. It was assigned to this organization in the NPPES registry on June 14, 2021.

Where is Rejuvia House located?

Rejuvia House is located at 9160 Lakeside Way, Gainesville, GA 30506. The listed phone number is (770) 205-5353.

What is Rejuvia House's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Rejuvia House was last updated on June 14, 2021. NPI Profile syncs with the weekly NPPES data releases published by CMS.