LAKE OCONEE ASSISTED LIVING, LLC
LAKE OCONEE ASSISTED LIVING, LLC is an organization registered with the National Plan and Provider Enumeration System (NPPES) under NPI 1194917617, based in Greensboro, GA. The organization lists 3 taxonomy classifications, with Assisted Living Facility (Behavioral Disturbances) recorded as primary.
Getting there
The practice address on file is 107 E BROAD ST, Greensboro, GA 30642. We have not yet mapped what surrounds this office — parking, transit, and nearby pharmacies are added as our data collection reaches each location.
Credentials and Medicare
| Licence | State | Specialty |
|---|---|---|
| CLA001142 | GA | Assisted Living Facility (Behavioral… primary |
This provider holds licence CLA001142 issued in GA. A licence number in NPPES reflects what was filed at registration — it does not confirm the licence is still active today.
This NPI does not appear in the PECOS Medicare enrolment file. Providers who do not bill Medicare — or who bill only through a group's enrolment — will not appear here. It is not a sign of any problem with the registration.
What Assisted Living, Behavioral Disturbances covers
A facility providing supportive services to individuals who can function independently in most areas of activity, but exhibit abnormal behavioral responses and habits and therefore need special guidance, assistance and/or monitoring to assure safety and well being. This type of facility requires a staff with special training in dealing with and redirecting negative, violent or destructive behaviors. NUCC Health Care Provider Taxonomy, code 3104A0630X
All registered taxonomy codes
This provider registers 3 taxonomy codes. The primary code is what appears on most claims; the others record additional recognised specialties.
| Code | Specialty | Licence | State | |
|---|---|---|---|---|
| 3104A0630X | Assisted Living Facility (Behavioral Disturbances) Assisted Living, Behavioral Disturbances | CLA001142 | GA | primary |
| 261QA0600X | Adult Day Care Clinic/Center Adult Day Care | — | — | |
| 261QD1600X | Developmental Disabilities Clinic/Center Developmental Disabilities | — | — |
The taxonomy records how the provider classifies their own practice. It does not confirm which conditions they currently treat, whether they are accepting new patients, or which insurance they take — call the office for that.
Full NPPES record
An NPI-2 identifies an organization — a clinic, hospital, group practice, laboratory, or supplier. Individual clinicians working there hold their own NPI-1 numbers separately, so a bill may reference both.
| NPI | 1194917617 valid check digit |
|---|---|
| Entity type | Organization (NPI-2) |
| Enumeration date | Aug 17, 2007 |
| Last updated | Jul 21, 2022 |
| Status | Active |
| Practice address |
107 E BROAD ST Greensboro, GA 30642 (706) 453-9055 Fax (706) 453-4156 |
Number check
How the check works, step by step
Every NPI carries a Luhn check digit — the same scheme used on credit cards. CMS prefixes the number with 80840 before computing it, which marks it as a US health identifier.
| Digit | 8 | 0 | 8 | 4 | 0 | 1 | 1 | 9 | 4 | 9 | 1 | 7 | 6 | 1 |
|---|---|---|---|---|---|---|---|---|---|---|---|---|---|---|
| Doubled? | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 | — | ×2 |
| Value | 8 | 0 | 8 | 8 | 0 | 2 | 1 | 9 | 4 | 9 | 1 | 5 | 6 | 2 |
Sum = 63 · next multiple of 10 = 70 · check digit = 7 · actual last digit = 7
A valid check digit only means the number is well-formed. It does not mean the provider is licensed, active, or in good standing — those are separate questions answered by the sections above.