Provider Demographics
NPI:1518782325
Name:THE COLOR OF EXCELLENCE LLC
Entity type:Organization
Organization Name:THE COLOR OF EXCELLENCE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:LATORIA
Authorized Official - Middle Name:SHANTAE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:LNHA, BSN
Authorized Official - Phone:678-338-0882
Mailing Address - Street 1:6124 WATERTON DR
Mailing Address - Street 2:
Mailing Address - City:LITHONIA
Mailing Address - State:GA
Mailing Address - Zip Code:30058-3509
Mailing Address - Country:US
Mailing Address - Phone:678-338-0882
Mailing Address - Fax:
Practice Address - Street 1:6124 WATERTON DR
Practice Address - Street 2:
Practice Address - City:LITHONIA
Practice Address - State:GA
Practice Address - Zip Code:30058-3509
Practice Address - Country:US
Practice Address - Phone:937-304-8067
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-11-18
Last Update Date:2025-06-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care