Living Well at Home

Primary specialty

Home Health AideTaxonomy code 374U00000X

Legal business name

LIVING WELL AT HOME

Practice address

103 Riverside Ave
Flanders, NY 11901-3850

Phone

(631) 591-0298

Fax

(631) 740-9233

NPI assigned

Nov 28, 2017

Organization subpart

No

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

Authorized official

Name

Shanell Lovette Woodley, RN

Title

RN Clinical Coordinator

Phone

(713) 665-9952

Specialties & licenses 2

Addresses

Other identifiers 1

Other names 1

• LWAH Doing business as

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

{
    "created_epoch": "1511827200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1511827200000",
    "number": "1144734252",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2177",
            "city": "RIVERHEAD",
            "state": "NY",
            "postal_code": "119010177",
            "telephone_number": "631-591-0298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "103 RIVERSIDE AVE",
            "city": "FLANDERS",
            "state": "NY",
            "postal_code": "119013850",
            "telephone_number": "631-591-0298",
            "fax_number": "631-740-9233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL AT HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-11-28",
        "last_updated": "2017-11-28",
        "status": "A",
        "authorized_official_last_name": "WOODLEY",
        "authorized_official_first_name": "SHANELL",
        "authorized_official_middle_name": "LOVETTE",
        "authorized_official_title_or_position": "RN CLINICAL COORDINATOR",
        "authorized_official_telephone_number": "713-665-9952",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "NY",
            "license": null,
            "primary": false
        },
        {
            "code": "374U00000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1902324502",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LWAH",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Susan Di Geronimo
• Janika Gyles
• Samantha Hensley
• Independent Group Home Living
• Jaclyn Kuhn
• Sarah McElhinney
• Jill Micheels
• Linda M Muldrow, LPN
• Rowan Grove Speech
• The Flanders Northampton Volunteer Ambulance Company Inc

• Home Health Aide in Flanders, NY
• Providers in Flanders, NY by specialty
• Home Health Aide in New York

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