Organization
LIONHEART IN THE COMMUNITY LLC
Active
Other names
Lionheart in the Community LLC
Organization subpart
No
Provider details
NPI number
Authorized official
DR. IWIMBONG KUM GHABOWEN (OWNER)
(702) 721-0830
Entity
Organization
Contact information
Practice address
2605 MORGAN PLACE DR, BUFORD, GA 30519-3202
(702) 721-0830
Mailing address
2605 MORGAN PLACE DR, BUFORD, GA 30519-3202
(702) 721-0830
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
—
—
251J00000X
Nursing Care Agency
—
—
251S00000X
Community/Behavioral Health Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
314000000X
Skilled Nursing Facility
—
—
3140N1450X
Pediatric Skilled Nursing Facility
—
—
332B00000X
Durable Medical Equipment & Medical Supplies
—
—
385H00000X
Respite Care
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
385HR2065X
Child Physical Disabilities Respite Care
—
—
Other
Enumeration date
07/22/2025
Last updated
07/22/2025
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