Healthcare Provider Details

I. General information

NPI: 1316861529
Provider Name (Legal Business Name): LIVING IN PARIDISE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/10/2026
Last Update Date: 08/10/2026
Certification Date: 08/10/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

11008 WILLIAMSBURG RD
SAVANNAH GA
31419-1032
US

IV. Provider business mailing address

11008 WILLIAMSBURG RD
SAVANNAH GA
31419-1032
US

V. Phone/Fax

Practice location:
  • Phone: 706-755-7682
  • Fax:
Mailing address:
  • Phone: 706-755-7682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KATINA C BROWN
Title or Position: ADMINISTRATOR
Credential:
Phone: 706-755-7682