Active NPI
Living Well Health Care Services LLC
Doing business as Living Well Health Care LLC
- Lodging Provider
- Coon Rapids, MN
National Provider Identifier
1053134817
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Lodging Provider
- Legal business name
- LIVING WELL HEALTH CARE SERVICES LLC
- Practice address
- 3390 132ND LN NW
Coon Rapids, MN 55448-1070 - Phone
- (507) 400-8468
- NPI assigned
- Oct 31, 2024
- Last updated
- Oct 31, 2024
- 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
- Pretty Guzeh-Brown
- Title
- MHP
- Phone
- (507) 400-8460
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | |||
| Non-emergency Medical Transport (VAN) | 343900000X | |||
| Home Health Aide | 374U00000X | |||
| Homemaker | 376J00000X | |||
| Respite Care | 385H00000X | |||
| Lodging Provider | 177F00000X | Primary | ||
| In Home Supportive Care Agency | 253Z00000X | |||
| Meals Provider | 174200000X |
Addresses
Primary practice location
3390 132ND LN NW
Coon Rapids, MN 55448-1070
Mailing address
3390 132ND LN NW
Coon Rapids, MN 55448-1070
Phone (507) 400-8468
Other names 1
- Living Well Health Care 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, and the practitioner matching its NPPES authorized official.
-
- Mental Health Counselor
- Brooklyn Center, MN
- NPI 1558241703
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1730332800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1730332800000",
"number": "1053134817",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "3390 132ND LN NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554481070",
"telephone_number": "507-400-8468"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "3390 132ND LN NW",
"city": "COON RAPIDS",
"state": "MN",
"postal_code": "554481070",
"telephone_number": "507-400-8468"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING WELL HEALTH CARE SERVICES LLC",
"organizational_subpart": "NO",
"enumeration_date": "2024-10-31",
"last_updated": "2024-10-31",
"certification_date": "2024-10-31",
"status": "A",
"authorized_official_last_name": "GUZEH-BROWN",
"authorized_official_first_name": "PRETTY",
"authorized_official_title_or_position": "MHP",
"authorized_official_telephone_number": "507-400-8460"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "343900000X",
"taxonomy_group": "",
"desc": "Non-emergency Medical Transport (VAN)",
"state": null,
"license": null,
"primary": false
},
{
"code": "374U00000X",
"taxonomy_group": "",
"desc": "Home Health Aide",
"state": null,
"license": null,
"primary": false
},
{
"code": "376J00000X",
"taxonomy_group": "",
"desc": "Homemaker",
"state": null,
"license": null,
"primary": false
},
{
"code": "385H00000X",
"taxonomy_group": "",
"desc": "Respite Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "177F00000X",
"taxonomy_group": "",
"desc": "Lodging",
"state": null,
"license": null,
"primary": true
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": false
},
{
"code": "174200000X",
"taxonomy_group": "",
"desc": "Meals",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": [
{
"organization_name": "Living Well Health Care LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Living Well Health Care LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Coon Rapids, MN
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.