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Organization

Life Wellness Group of Atlanta

NPI Record: ActiveIn Home Supportive Care
NPI1235480138
Ellenwood, Georgia

Provider's NPPES record last updated: October 2, 2012

Overview

Entity Type
Organization
NPI
1235480138
Primary Specialty
In Home Supportive Care
Practice Location
Ellenwood, 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 identified

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 18, 2026, 6:45 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

Not checked

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.

Run a name-based screening

Searches OIG LEIE and SAM.gov by name and reviews every potential match.

Specialties & Taxonomies

  • In Home Supportive Care

    Agencies

    Primary

    An In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves.

    Taxonomy code 253Z00000X
  • Home Delivered Meals

    Suppliers

    Home-delivered meals are those services or activities designed to prepare and deliver one or more meals a day to an individual's residence in order to prevent institutionalization, malnutrition, and feelings of isolation. Component services or activities may include the cost of personnel, equipment, and food; assessment of nutritional and dietary needs; nutritional education and counseling; socialization services; and information and referral.

    Taxonomy code 332U00000X
  • Private Vehicle

    Transportation Services

    An individual paid to provide non-emergency transportation using their privately owned/leased vehicle.

    Taxonomy code 347C00000X

Provider-Reported License Information

In Home Supportive Care (Georgia)
253Z00000X
Home Delivered Meals (Georgia)
332U00000X
Private Vehicle (Georgia)
347C00000X
License numbers are reported by the provider to NPPES and are not independently verified by NPISignal against any state licensing board. Confirm current license status directly with the issuing state board.

Practice Locations

Practice Location

145 Wilhemina Drive

Ellenwood, Georgia 30294

Phone: (678) 858-2815

Record Information

Enumeration Date
October 2, 2012
Provider's NPPES Record Last Updated
October 2, 2012
NPISignal NPPES Dataset
August 2026

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