Organization Active NPI

Living With Purpose Homecare LLC

  • In Home Supportive Care Agency
  • San Leandro, CA
National Provider Identifier
1134679301
Registry record updated May 12, 2017
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIVING WITH PURPOSE HOMECARE LLC
Practice address
1515 Aurora Dr Ste 102D
San Leandro, CA 94577-3105
Phone
(510) 750-1184
NPI assigned
Oct 11, 2016
Last updated
May 12, 2017By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 12, 2017

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

Authorized official

Name
Marjesto Mitchell
Title
Administrator
Phone
(510) 750-1184

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1515 Aurora Dr Ste 102D
San Leandro, CA 94577-3105

Mailing address

1515 Aurora Dr Ste 102G
San Leandro, CA 94577-3105
Phone (510) 750-1184

National Provider Directory

National Provider Directory

Locations

1515 Aurora Dr
Ste 102D
San Leandro, CA 94577
Phone (510) 750-1184

1515 Aurora Dr
Ste 102G
San Leandro, CA 94577

NPI Registry JSON

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

{
    "created_epoch": "1476144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1494547200000",
    "number": "1134679301",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1515 AURORA DR STE 102G",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773105",
            "telephone_number": "510-750-1184"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1515 AURORA DR STE 102D",
            "city": "SAN LEANDRO",
            "state": "CA",
            "postal_code": "945773105",
            "telephone_number": "510-750-1184"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WITH PURPOSE HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-11",
        "last_updated": "2017-05-12",
        "status": "A",
        "authorized_official_last_name": "MITCHELL",
        "authorized_official_first_name": "MARJESTO",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "510-750-1184"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in San Leandro, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 12, 2017; 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.