Organization Active NPI

Livingwell N-Home Therapy LLC

  • Physical Therapist
  • Kenosha, WI
National Provider Identifier
1164912689
Registry record updated May 10, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
Physical TherapistTaxonomy code 225100000X
Legal business name
LIVINGWELL N-HOME THERAPY LLC
Practice address
3921 30TH Ave Ste B1
Kenosha, WI 53144-1957
Phone
(262) 909-2874
Fax
(262) 652-6305
NPI assigned
May 10, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on May 10, 2018

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

Authorized official

Name
Carmelo TenutaNPI 1144267550
Title
President Ceo
Phone
(262) 925-5000

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
Physical TherapistGroup: 193400000X SINGLE SPECIALTY GROUP 225100000X Primary

Addresses

Primary practice location

3921 30TH Ave Ste B1
Kenosha, WI 53144-1957

Mailing address

600 52ND St Ste 240
Kenosha, WI 53140-3423
Phone (262) 925-5004

National Provider Directory

National Provider Directory

Locations

3921 30th Ave
Ste B1
Kenosha, WI 53144
Phone (262) 909-2874

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": "1525910400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1525910400000",
    "number": "1164912689",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "600 52ND ST STE 240",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531403423",
            "telephone_number": "262-925-5004",
            "fax_number": "262-925-5001"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 30TH AVE STE B1",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441957",
            "telephone_number": "262-909-2874",
            "fax_number": "262-652-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGWELL N-HOME THERAPY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-05-10",
        "last_updated": "2018-05-10",
        "status": "A",
        "authorized_official_last_name": "TENUTA",
        "authorized_official_first_name": "CARMELO",
        "authorized_official_title_or_position": "PRESIDENT CEO",
        "authorized_official_telephone_number": "262-925-5000"
    },
    "taxonomies": [
        {
            "code": "225100000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Kenosha, WI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 10, 2018; 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.