Organization 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
Registry record updated Oct 31, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Lodging ProviderTaxonomy code 177F00000X
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, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 31, 2024

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)CodeLicenseStatePrimary
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 Other name

National Provider Directory

National Provider Directory

Practitioners & 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.

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.

Verify at the official NPI Registry.