Living Well Home Care, LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIVING WELL HOME CARE, LLC

Practice address

9936 Azalea Bloom Way Apt 517
Riverview, FL 33578-4635

Phone

(813) 720-7314

NPI assigned

Mar 7, 2019

Organization subpart

No

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

Authorized official

Name

Xiomara Dudley

Title

Owner

Phone

(813) 344-2519

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1551916800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1561334400000",
    "number": "1144788241",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "9936 AZALEA BLOOM WAY APT 517",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784635",
            "telephone_number": "813-344-2519"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "9936 AZALEA BLOOM WAY APT 517",
            "city": "RIVERVIEW",
            "state": "FL",
            "postal_code": "335784635",
            "telephone_number": "813-720-7314"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-07",
        "last_updated": "2019-06-24",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "XIOMARA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "813-344-2519"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Joshua Simon Litz
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• Damanique Lodick
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• Elizabeth Lombardi
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• In Home Supportive Care Agency in Riverview, FL
• Providers in Riverview, FL by specialty
• In Home Supportive Care Agency in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 24, 2019; 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.