Provider Demographics
NPI:1043072747
Name:GARDEN HILLS COMMUNITY LIVING LLC
Entity Type:Organization
Organization Name:GARDEN HILLS COMMUNITY LIVING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:CAUDETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:FINDLAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-480-2204
Mailing Address - Street 1:1622 GREAT SHOALS DR
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:GA
Mailing Address - Zip Code:30045-2681
Mailing Address - Country:US
Mailing Address - Phone:678-480-2204
Mailing Address - Fax:
Practice Address - Street 1:1622 GREAT SHOALS DR
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:GA
Practice Address - Zip Code:30045-2681
Practice Address - Country:US
Practice Address - Phone:678-480-2204
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care