Organization Active NPI

Living Life Inc

Doing business as Living Well

  • Rehabilitation Practitioner
  • Las Vegas, NV
National Provider Identifier
1073814430
Registry record updated Nov 16, 2010
On this page

Key facts

NPPES NPI Registry
Primary specialty
Rehabilitation PractitionerTaxonomy code 225400000X
Legal business name
LIVING LIFE INC
Doing business as
Living Well
Practice address
5967 Greenery View LN
Las Vegas, NV 89118-1316
Phone
(702) 281-9300
Fax
(702) 220-9519
NPI assigned
Nov 16, 2010
Last updated
Nov 16, 2010By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Nov 16, 2010

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

Authorized official

Name
Sheryon PilgrimNPI 1396046751
Title
Ceo
Phone
(702) 281-9300

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 1

Specialty (taxonomy)CodeLicenseStatePrimary
Rehabilitation Practitioner 225400000X NU Primary

Addresses

Primary practice location

5967 Greenery View LN
Las Vegas, NV 89118-1316

Mailing address

1027 S Rainbow Blvd # 276
Las Vegas, NV 89145-6232
Phone (720) 281-9300

Other names 1

  • Living Well Doing business as

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": "1289865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1289865600000",
    "number": "1073814430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1027 S RAINBOW BLVD # 276",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891456232",
            "telephone_number": "720-281-9300",
            "fax_number": "702-220-9519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5967 GREENERY VIEW LN",
            "city": "LAS VEGAS",
            "state": "NV",
            "postal_code": "891181316",
            "telephone_number": "702-281-9300",
            "fax_number": "702-220-9519"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIFE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-11-16",
        "last_updated": "2010-11-16",
        "status": "A",
        "authorized_official_last_name": "PILGRIM",
        "authorized_official_first_name": "SHERYON",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "702-281-9300"
    },
    "taxonomies": [
        {
            "code": "225400000X",
            "taxonomy_group": "",
            "desc": "Rehabilitation Practitioner",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Well",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Las Vegas, NV

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 16, 2010; 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.