NPIMap

Organization Active NPI

Live Long Well Care, LLC

Doing business as Live Long Well Care of Marsh's Edge

  • Home Health Agency
  • St Simons Island, GA
National Provider Identifier
1013371251
Registry record updated Apr 13, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVE LONG WELL CARE, LLC
Doing business as
Live Long Well Care of Marsh's Edge
Practice address
136 Marshs Edge LN
St Simons Island, GA 31522-8898
Phone
(912) 291-2006
Fax
(912) 291-2098
NPI assigned
Apr 13, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 13, 2016

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

Authorized official

Name
Donald O Thompson Jr.
Title
Owner
Phone
(704) 246-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

136 Marshs Edge LN
St Simons Island, GA 31522-8898

Mailing address

3530 Toringdon Way
Suite 204
Charlotte, NC 28277
Phone (704) 246-1620

Other names 1

  • Live Long Well Care of Marsh's Edge Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Live Long Well Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1460505600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1460505600000",
    "number": "1013371251",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3530 TORINGDON WAY",
            "address_2": "SUITE 204",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "28277",
            "telephone_number": "704-246-1620",
            "fax_number": "704-246-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "136 MARSHS EDGE LN",
            "city": "ST SIMONS ISLAND",
            "state": "GA",
            "postal_code": "315228898",
            "telephone_number": "912-291-2006",
            "fax_number": "912-291-2098"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LONG WELL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-04-13",
        "last_updated": "2016-04-13",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "704-246-1620",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Long Well Care of Marsh's Edge",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in St Simons Island, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 13, 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.