Live Well MN

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIVE WELL MN

Practice address

7400 Metro Blvd Ste 100-8
Edina, MN 55439-2316

Phone

(612) 800-4088

NPI assigned

Sep 23, 2020

Organization subpart

No

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

Authorized official

Name

Mr. Isaak O Rooble

Title

Ceo/Owner

Phone

(612) 800-4088

Specialties & licenses 1

Addresses

Other names 1

• LIVE WELL MN HOME HEALTHCARE Doing business as

Tax ID family

Live Well MN2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

• Live Well MN LLC

  • Home Health Agency
  • Edina, MN
  • NPI 1225706799
  NPD tax ID

Locations

Subparts reporting this organization as parent 1

Organizations that report themselves as subparts in NPPES and name this organization, in the same state, as their parent.

• Live Well MN LLC

  • Home Health Agency
  • Edina, MN
  • NPI 1225706799
  NPPES parent name

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

{
    "created_epoch": "1600819200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1600819200000",
    "number": "1235746397",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 100-8",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392316",
            "telephone_number": "612-460-5094"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7400 METRO BLVD STE 100-8",
            "city": "EDINA",
            "state": "MN",
            "postal_code": "554392316",
            "telephone_number": "612-800-4088"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL MN",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-09-23",
        "last_updated": "2020-09-23",
        "certification_date": "2020-09-23",
        "status": "A",
        "authorized_official_last_name": "ROOBLE",
        "authorized_official_first_name": "ISAAK",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "612-800-4088",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVE WELL MN HOME HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Meghan Rose McElreath Litke, MD
• Little Acorn ABA MN
• Noam Littman, MD
• Heng-Hsiao E Liu, M.D.
• Wei Liu, L.AC
• Live Well MN LLC
• Living Hope Second Chance LLC
• Rachel Livingston
• Theodore Edward Lobby, MSW
• Dianne Lynn Lockman, M.S., RN, CNS

• Home Health Agency in Edina, MN
• Providers in Edina, MN by specialty
• Home Health Agency in Minnesota

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 23, 2020; 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.