OrganizationActive
Living Well Personal Care Home LLC
NPI 1134829567 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Hampton, GA
Provider details
- NPI number
- 1134829567
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Angenette Agama, Owner/Administrator(678) 829-3499
Specialties & taxonomies
Residential Treatment Facilities
Profile Score
Established profile(59/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
3 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
10903 Wheeler Trce
Hampton, GA 30228-6461
Phone: (678) 829-3499
Fax: (678) 829-3499
Street-level locationGet directions
Mailing address
10903 Wheeler Trce
Hampton, GA 30228-6461
Other names (DBA / former)
- Doing business as
- Living Well Personal Care Home LLC
Registry dates
- Enumerated
- 2023-03-06
- Last updated
- 2023-03-09
- Certified
- 2023-03-09
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.