Living Well Senior Care

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

12888 Issued in FL

Legal business name

LIVING WELL SENIOR CARE

Practice address

2006 Wrangler Dr
Brandon, FL 33511-2121

Phone

(813) 431-0065

NPI assigned

Sep 16, 2016

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Mrs. Beverley McEachron

Title

Owner/Administrator

Phone

(813) 431-0065

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1473984000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1476057600000",
    "number": "1003364183",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2006 WRANGLER DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112121",
            "telephone_number": "813-431-0065"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2006 WRANGLER DR",
            "city": "BRANDON",
            "state": "FL",
            "postal_code": "335112121",
            "telephone_number": "813-431-0065"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-09-16",
        "last_updated": "2016-10-10",
        "status": "A",
        "authorized_official_last_name": "MCEACHRON",
        "authorized_official_first_name": "BEVERLEY",
        "authorized_official_title_or_position": "OWNER/ADMINISTRATOR",
        "authorized_official_telephone_number": "813-431-0065",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "12888",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Hsiu Shan Liu
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• Laura Llanos
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• Channing Loftin

• Assisted Living Facility in Brandon, FL
• Providers in Brandon, FL by specialty
• Assisted Living Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 10, 2016; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.