Organization Active NPI

Livwell Home Care Corp.

  • Clinical Medical Laboratory
  • Cherry Hill, NJ
National Provider Identifier
1245794528
Registry record updated Jan 7, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Medical LaboratoryTaxonomy code 291U00000X
Legal business name
LIVWELL HOME CARE CORP.
Practice address
1721 Springdale Rd
Cherry Hill, NJ 08003-2133
Phone
(856) 338-7700
Fax
(856) 338-7705
NPI assigned
Jan 30, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 7, 2022

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

Authorized official

Name
Michelle L Peterson
Title
President
Phone
(856) 338-7700

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
Clinical Medical Laboratory 291U00000X Primary

Addresses

Primary practice location

1721 Springdale Rd
Cherry Hill, NJ 08003-2133

Mailing address

2569 Sunny Hill Ave
Williamstown, NJ 08094-4549
Phone (856) 338-7700

National Provider Directory

National Provider Directory

Locations

420 Commerce Ln
Ste 9
West Berlin, NJ 08091

NPI Registry JSON

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

{
    "created_epoch": "1548806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1641513600000",
    "number": "1245794528",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2569 SUNNY HILL AVE",
            "city": "WILLIAMSTOWN",
            "state": "NJ",
            "postal_code": "080944549",
            "telephone_number": "856-338-7700"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1721 SPRINGDALE RD",
            "city": "CHERRY HILL",
            "state": "NJ",
            "postal_code": "080032133",
            "telephone_number": "856-338-7700",
            "fax_number": "856-338-7705"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVWELL HOME CARE CORP.",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-01-30",
        "last_updated": "2022-01-07",
        "certification_date": "2022-01-07",
        "status": "A",
        "authorized_official_last_name": "PETERSON",
        "authorized_official_first_name": "MICHELLE",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "856-338-7700"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "291U00000X",
            "taxonomy_group": "",
            "desc": "Clinical Medical Laboratory",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cherry Hill, NJ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 7, 2022; 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.