Active NPI
Living Life Long, LLC
- In Home Supportive Care Agency
- Saint Louis, MO
National Provider Identifier
1063955169
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LIVING LIFE LONG, LLC
- Practice address
- 303 Union Blvd
Suite 300
Saint Louis, MO 63108-4400 - Phone
- (314) 497-5284
- NPI assigned
- Nov 22, 2016
- 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
- Sherrone L Beatty
- Title
- Owner
- Phone
- (314) 497-5284
Specialties & licenses 8
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Local Education Agency (LEA) | 251300000X | |||
| Case Management Agency | 251B00000X | |||
| Developmentally Disabled Services Day Training Agency | 251C00000X | |||
| Home Health Agency | 251E00000X | |||
| Community Based Hospice Care Agency | 251G00000X | |||
| Public Health or Welfare Agency | 251K00000X | |||
| PACE Provider Organization | 251T00000X | |||
| In Home Supportive Care Agency | 253Z00000X | Primary |
Addresses
Primary practice location
303 Union Blvd
Suite 300
Saint Louis, MO 63108-4400
Mailing address
303 Union Blvd
Suite 300
Saint Louis, MO 63108-4400
Phone (314) 497-5284
National Provider Directory
National Provider Directory- Tax ID family
- Homewell Senior Care
Other organizations with this tax ID 1
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": "1479772800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1479772800000",
"number": "1063955169",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "303 UNION BLVD",
"address_2": "SUITE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631084400",
"telephone_number": "314-497-5284"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "303 UNION BLVD",
"address_2": "SUITE 300",
"city": "SAINT LOUIS",
"state": "MO",
"postal_code": "631084400",
"telephone_number": "314-497-5284"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING LIFE LONG, LLC",
"organizational_subpart": "NO",
"enumeration_date": "2016-11-22",
"last_updated": "2016-11-22",
"status": "A",
"authorized_official_last_name": "BEATTY",
"authorized_official_first_name": "SHERRONE",
"authorized_official_middle_name": "L",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "314-497-5284"
},
"taxonomies": [
{
"code": "251300000X",
"taxonomy_group": "",
"desc": "Local Education Agency (LEA)",
"state": null,
"license": null,
"primary": false
},
{
"code": "251B00000X",
"taxonomy_group": "",
"desc": "Case Management",
"state": null,
"license": null,
"primary": false
},
{
"code": "251C00000X",
"taxonomy_group": "",
"desc": "Day Training, Developmentally Disabled Services",
"state": null,
"license": null,
"primary": false
},
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": null,
"license": null,
"primary": false
},
{
"code": "251G00000X",
"taxonomy_group": "",
"desc": "Hospice Care, Community Based",
"state": null,
"license": null,
"primary": false
},
{
"code": "251K00000X",
"taxonomy_group": "",
"desc": "Public Health or Welfare",
"state": null,
"license": null,
"primary": false
},
{
"code": "251T00000X",
"taxonomy_group": "",
"desc": "Program of All-Inclusive Care for the Elderly (PACE) Provider Organization",
"state": null,
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Saint Louis, MO
- Mary C Livergood, M.D.
- Christopher David Livesay, D.O.
- Living Essentials Consumer Directed Services LLC
- Living Essentials in Home Services LLC
- Living Life Long Residential Care
- Living Life Long, LLC (HomeWell Senior Care)
- Living My Best Life CDS, LLC
- Living Out Loud Counseling & Consultation
- Living Resources Home Care LLC
- Living Truth Counseling Services, LLC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 22, 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.