MEDICARE: LIVE EMERGE AND PERSEVERE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251J00000X	Nursing Care Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	PHCP011213	OTHER	GA	PRIVATE HOMECARE PROVIDER PERMIT

General Provider Information

NPI Number	:	1548922792
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVE EMERGE AND PERSEVERE LLC

Provider Business Mailing Address
First Line	:	2169 FOREST RIDGE RD SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-4973
Country	:	US
Telephone Number	:	678-638-0460
Fax Number	:

Provider Business Practice Location Address
First Line	:	2169 FOREST RIDGE RD SE
Second Line	:
City	:	ATLANTA
State	:	GA
Zip	:	30316-4973
Country	:	US
Telephone Number	:	678-638-0460
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MS. LASHANDA NICOLE WASHINGTON
Credential	:	MPH
Telephone Number	:	850-284-3245

Provider Enumeration Date	:	10/05/2021
Last Update Date	:	10/05/2021

Similar Medicare Providers

1013232461 — TALITHA C SEIBEL CLD (ALACE)
Practice Location Address:

971 RICE ST NW
ATLANTA, GA
30318-4973

Practice Phone: 404-933-8857
Practice Fax:

1104789064 — SHANDRA PATRICK MFT
Practice Location Address:

1030 FAYETTEVILLE RD SE
ATLANTA, GA
30316-2921

Practice Phone: 404-486-9034
Practice Fax:

1396608113 — LOLIYA J. STEWART, DDS, INC
Practice Location Address:

475 BILL KENNEDY WAY SE STE D-E
ATLANTA, GA
30316-6847

Practice Phone: 404-850-3424
Practice Fax: 404-850-3626

1548144462 — BUSY BEE ABA
Practice Location Address:

780 MEMORIAL DR SE APT 515
ATLANTA, GA
30316-1717

Practice Phone: 470-590-4777
Practice Fax:

1750251112 — THE GRACE SPACE COUNSELING AND WELLNESS LLC
Practice Location Address:

1933 SHAWN WAYNE CIRCLE SE
ATLANTA, GA
30316

Practice Phone: 470-632-4799
Practice Fax:

1073143863 — SANDERICA HUTTO
Practice Location Address:

1410 CUSTER AVE SE
ATLANTA, GA
30316-3304

Practice Phone: 248-220-7980
Practice Fax:

Directions to “LIVE EMERGE AND PERSEVERE LLC ” Practice Location

Language	Start Address	Practice Location

These directions are for planning purposes only. You may find that construction projects, traffic, or other events may cause road conditions to differ from the map results.

Copyright © 2007-2025 (Powered by Swiss Vault Engine), all rights reserved. HIPAA liability, trademark, document use and software licensing rules apply. All registered trademarks, used in the content, are the property of their owners. Your interactions with this site are in accordance with our Terms of Use and Privacy Policy.