Provider records sourced from NPPES (CMS National Plan & Provider Enumeration System). Data current as of August 10, 2026.

Lake Oconee Assisted Living, LLC

Organization Adult Day Care Clinic/Center · NPI 1194917617

Lake Oconee Assisted Living, LLC is an Adult Day Care Clinic/Center in Greensboro, Georgia. Works from 2 locations. Licensed in Georgia.

Licensed in
GA
In the registry since
2007
Specialties on file
3
What do these letters mean?
LLC — Limited liability company
A form of business registration, not a clinical qualification.

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Practice location Address checks out

107 E Broad St
Greensboro, GA 30642-1337
Phone: (706) 453-9055
Fax: (706) 453-4156
Show map & directions

Pin is approximate — placed at the ZIP-code centre, not the exact door.

Additional practice locations (1)

  • 732 Linton Rd, Sparta, GA 31087-3033 — (706) 817-9618

Specialties & licences

Assisted Living Facility (Behavioral Disturbances) (primary) Taxonomy 3104A0630X · Licence CLA001142 (GA)
Adult Day Care Clinic/Center Taxonomy 261QA0600X
Developmental Disabilities Clinic/Center Taxonomy 261QD1600X

Record details

NPI number1194917617
Entity typeOrganization (Type 2)
Organization subpartNo
Authorized official Lillie Tripp — Controlling Manager · (706) 453-9055
Other names Kingdom Care Service Center
NPI enumeratedAugust 17, 2007
Last updated in NPPESJuly 21, 2022
Mailing address107 E Broad St, P.O. Box 1152, Greensboro, GA 30642-1337

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