Provider Demographics
NPI:1003452236
Name:ART OF LIFE HOME CARE AND STAFFING SERVICES, LLC
Entity Type:Organization
Organization Name:ART OF LIFE HOME CARE AND STAFFING SERVICES, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:JATAVIA
Authorized Official - Middle Name:
Authorized Official - Last Name:STRICKLAND
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-349-2184
Mailing Address - Street 1:619 E PRICE AVE STE 4
Mailing Address - Street 2:
Mailing Address - City:GASTONIA
Mailing Address - State:NC
Mailing Address - Zip Code:28054-0471
Mailing Address - Country:US
Mailing Address - Phone:704-349-2184
Mailing Address - Fax:704-967-0269
Practice Address - Street 1:619 E PRICE AVE STE 4
Practice Address - Street 2:
Practice Address - City:GASTONIA
Practice Address - State:NC
Practice Address - Zip Code:28054-0471
Practice Address - Country:US
Practice Address - Phone:704-349-2184
Practice Address - Fax:704-967-0269
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-22
Last Update Date:2019-12-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No385H00000XRespite Care FacilityRespite Care