Livitup, Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

L000000005751 Issued in TN

Legal business name

LIVITUP, INC

Practice address

3239 Players Club Parkway
Memphis, TN 38125

Phone

(901) 761-4277

Fax

(901) 761-7876

NPI assigned

Aug 20, 2010

Organization subpart

No

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

Authorized official

Name

Mrs. Michael W Nolen Jr., EMT-IV, CAC

Title

Ceo/Board Memner

Phone

(901) 333-1031

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1282262400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1342742400000",
    "number": "1386950939",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 381167",
            "city": "GERMANTOWN",
            "state": "TN",
            "postal_code": "38183",
            "telephone_number": "901-761-4277",
            "fax_number": "901-761-7876"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3239 PLAYERS CLUB PARKWAY",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "38125",
            "telephone_number": "901-761-4277",
            "fax_number": "901-761-7876"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVITUP, INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-08-20",
        "last_updated": "2012-07-20",
        "status": "A",
        "authorized_official_last_name": "NOLEN",
        "authorized_official_first_name": "MICHAEL",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "CEO/BOARD MEMNER",
        "authorized_official_telephone_number": "901-333-1031",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_name_suffix": "Jr.",
        "authorized_official_credential": "EMT-IV, CAC"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "TN",
            "license": "L000000005751",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 20, 2012; 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.