Lake Oconee Assisted Living, LLC
NPI 1194917617 · Assisted Living Facility (Behavioral Disturbances) · Greensboro, GA
Lake Oconee Assisted Living, LLC is a Assisted Living Facility (Behavioral Disturbances) organization in Greensboro, GA (NPI 1194917617).
Provider details
- NPI number
- 1194917617
- Entity type
- Organization
- Primary specialty
- Assisted Living Facility (Behavioral Disturbances)Nursing & Custodial Care Facilities
- Organization subpart
- No
- Authorized official
- Lillie Tripp, Controlling Manager(706) 453-9055
Specialties & taxonomies
Nursing & Custodial Care Facilities
- Adult Day Care Clinic/Center261QA0600X
Ambulatory Health Care Facilities
- Developmental Disabilities Clinic/Center261QD1600X
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
18 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
2 documented practice locations
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
Mailing address
Other names (DBA / former)
- Doing business as
- Kingdom Care Service Center
Additional practice locations (1)
- 732 Linton RdSparta, GA 31087-3033Phone: (706) 817-9618Fax: (706) 453-4156
Registry dates
- Enumerated
- 2007-08-17
- Last updated
- 2022-07-21
Frequently asked questions
- What is Lake Oconee Assisted Living, LLC's NPI number?
- Lake Oconee Assisted Living, LLC's National Provider Identifier (NPI) is 1194917617, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Lake Oconee Assisted Living, LLC?
- Lake Oconee Assisted Living, LLC is classified in the NPPES registry as Assisted Living Facility (Behavioral Disturbances) (Nursing & Custodial Care Facilities).
- Where is Lake Oconee Assisted Living, LLC located?
- Lake Oconee Assisted Living, LLC's practice location on file with NPPES is 107 E Broad St, Greensboro, GA 30642-1337.
- What is Lake Oconee Assisted Living, LLC's phone number?
- The practice phone number listed in the NPPES registry for Lake Oconee Assisted Living, LLC is (706) 453-9055.
- Who is the authorized official for Lake Oconee Assisted Living, LLC?
- The authorized official listed on Lake Oconee Assisted Living, LLC's NPPES record is Lillie Tripp, Controlling Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Lake Oconee Assisted Living, LLC's NPI active?
- Yes — Lake Oconee Assisted Living, LLC's NPI (1194917617) is active in the NPPES registry as of the last update on 2022-07-21.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.