NPIMap

Organization Active NPI

Livingwell Manor Homes, LLC

  • Nursing Care Agency
  • Burton, MI
National Provider Identifier
1073301255
Registry record updated Apr 28, 2025
On this page

Key facts

NPPES NPI Registry
Primary specialty
Nursing Care AgencyTaxonomy code 251J00000X
Legal business name
LIVINGWELL MANOR HOMES, LLC
Practice address
1164 Briar Downs LN
Burton, MI 48529-2224
Phone
(810) 382-1110
NPI assigned
Apr 28, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 28, 2025

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

Authorized official

Name
Ms. Condrella Tyler, LPNNPI 1881413755
Title
Owner
Phone
(810) 382-1110

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)CodeLicenseStatePrimary
Licensed Practical NurseGroup: 193400000X SINGLE SPECIALTY GROUP 164W00000X
Nursing Care Agency 251J00000X Primary

Addresses

Primary practice location

1164 Briar Downs LN
Burton, MI 48529-2224

Mailing address

1164 Briar Downs LN
Burton, MI 48529-2224
Phone (810) 382-1110

Other names 1

  • Livingwell Manor Home Care, LLC Other name

National Provider Directory

National Provider Directory
Tax ID family
Livingwell Manor Home Care LLC2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the 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.

NPI Registry JSON

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

{
    "created_epoch": "1745798400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1745798400000",
    "number": "1073301255",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1164 BRIAR DOWNS LN",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485292224",
            "telephone_number": "810-382-1110"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1164 BRIAR DOWNS LN",
            "city": "BURTON",
            "state": "MI",
            "postal_code": "485292224",
            "telephone_number": "810-382-1110"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGWELL MANOR HOMES, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-04-28",
        "last_updated": "2025-04-28",
        "certification_date": "2025-04-28",
        "status": "A",
        "authorized_official_last_name": "TYLER",
        "authorized_official_first_name": "CONDRELLA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "810-382-1110",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "LPN"
    },
    "taxonomies": [
        {
            "code": "164W00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Licensed Practical Nurse",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "251J00000X",
            "taxonomy_group": "",
            "desc": "Nursing Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Livingwell Manor Home Care, LLC",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Burton, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 28, 2025; 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.