Organization
Lake Oconee Assisted Living, LLC
Provider's NPPES record last updated: July 21, 2022
Overview
- Entity Type
- Organization
- NPI
- 1194917617
- Primary Specialty
- Assisted Living Facility — Assisted Living, Behavioral Disturbances
- Practice Location
- Greensboro, Georgia
- Organization Subpart
- No
Federal Screening
NPISignal checked this NPI against federal exclusion sources. Results below are based on the NPI number itself — an identifier match, not a name match.
List of Excluded Individuals/Entities (LEIE)
HHS Office of Inspector General
No potential match was identified in NPISignal's indexed List of Excluded Individuals/Entities (LEIE) records as of 2026-09-10.
- Source data
- September 10, 2026
- Records indexed
- 84,001
- Screened
- Sep 19, 2026, 1:28 PM UTC
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
SAM.gov Exclusions
U.S. General Services Administration
SAM.gov Exclusions was not checked.
SAM.gov screening is not configured on this deployment. No SAM check has been performed.
- Screened
- Not checked
This is an NPI-based check only. NPISignal does not publish name-based exclusion matches on a provider profile. A shared or similar name is a lead that requires human review, not an identification, and this page is not the place to make one. Run a name-based screening below to see potential matches with the reasons for each.
This reflects only the records NPISignal currently holds and the identity information supplied. It is not a verification of eligibility, licensure, or compliance. Verify decisions that matter against the authoritative source.
Searches OIG LEIE and SAM.gov by name and reviews every potential match.
Specialties & Taxonomies
- Primary
Assisted Living Facility
Assisted Living, Behavioral Disturbances
Nursing & Custodial Care Facilities
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors.
Taxonomy code 3104A0630X Clinic/Center
Adult Day Care
Ambulatory Health Care Facilities
Definition to come...
Taxonomy code 261QA0600XClinic/Center
Developmental Disabilities
Ambulatory Health Care Facilities
An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.).
Taxonomy code 261QD1600X
Provider-Reported License Information
- Assisted Living Facility (Georgia)
- CLA001142
Practice Locations
Practice Location
107 E Broad St
Greensboro, Georgia 30642-1337
Phone: (706) 453-9055
Additional Practice Location
732 Linton Rd
Sparta, Georgia 31087-3033
Phone: (706) 817-9618
Fax: (706) 453-4156
Other Names
- Kingdom Care Service CenterReported September 17, 2017
Record Information
- Enumeration Date
- August 17, 2007
- Provider's NPPES Record Last Updated
- July 21, 2022
- NPISignal NPPES Dataset
- August 2026
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