Active NPI
Living Fully, LLC
- Community/Behavioral Health Agency
- Lancaster, PA
National Provider Identifier
1033986575
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Community/Behavioral Health Agency
- Legal business name
- LIVING FULLY, LLC
- Practice address
- 1771 Wilderness Rd
Lancaster, PA 17603-9324 - Phone
- (717) 862-8812
- NPI assigned
- Dec 5, 2023
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Mrs. Miguelina Dalton
- Title
- Owner
- Phone
- (845) 304-5189
Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Clinical Social Worker | 1041C0700X | |||
| Community/Behavioral Health Agency | 251S00000X | Primary |
Addresses
Primary practice location
1771 Wilderness Rd
Lancaster, PA 17603-9324
Mailing address
1771 Wilderness Rd
Lancaster, PA 17603-9324
Phone (845) 304-5189
Other names 1
- Living Fully, LLC
National Provider Directory
National Provider DirectoryPractitioners & affiliated clinicians
Practitioners 1
Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.
-
- Clinical Social Worker
- Lancaster, PA
- NPI 1942783493
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1701734400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1701734400000",
"number": "1033986575",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1771 WILDERNESS RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176039324",
"telephone_number": "845-304-5189"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1771 WILDERNESS RD",
"city": "LANCASTER",
"state": "PA",
"postal_code": "176039324",
"telephone_number": "717-862-8812"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING FULLY, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2023-12-05",
"last_updated": "2023-12-05",
"certification_date": "2023-12-05",
"status": "A",
"authorized_official_last_name": "DALTON",
"authorized_official_first_name": "MIGUELINA",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "845-304-5189",
"authorized_official_name_prefix": "Mrs."
},
"taxonomies": [
{
"code": "1041C0700X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Social Worker, Clinical",
"state": null,
"license": null,
"primary": false
},
{
"code": "251S00000X",
"taxonomy_group": "",
"desc": "Community/Behavioral Health",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Living Fully, LLC",
"code": "4",
"type": "Former Legal Business Name"
}
]
}
Other providers in Lancaster, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 5, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.