Organization Active NPI

Livwell Community Health Services, Inc.

  • Multi-Specialty Clinic/Center
  • Paducah, KY
National Provider Identifier
1396749917
Registry record updated Oct 6, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Multi-Specialty Clinic/CenterTaxonomy code 261QM1300X
Legal business name
LIVWELL COMMUNITY HEALTH SERVICES, INC.
Practice address
1903 Broadway St
Paducah, KY 42001-7105
Phone
(270) 444-8183
Fax
(247) 044-8147
NPI assigned
Jun 10, 2005
Last updated
Oct 6, 2026By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 6, 2026

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

Authorized official

Name
Leeanna Meadows
Title
Ceo
Phone
(270) 444-8183

Specialties & licenses 5

Specialty (taxonomy)CodeLicenseStatePrimary
Multi-Specialty Clinic/Center 261QM1300X Primary
Physician Assistant 363A00000X
Family Nurse Practitioner 363LF0000X
Professional Counselor 101YP2500X
Infectious Disease Physician 207RI0200X

Addresses

Primary practice location

1903 Broadway St
Paducah, KY 42001-7105

Mailing address

1903 Broadway St
Paducah, KY 42001-7105
Phone (270) 444-8183

Other practice location 1

1700 Canton St.
Christian County Health Department
Hopkinsville, KY 42240-1923
Phone (270) 444-8183

Other practice location 2

1002 S Virginia St Ste 200
Hopkinsville, KY 42240-3507
Phone (270) 444-8183

Other practice location 3

415 Health Department Road
Jackson County Health Department
Murphysboro, IL 62966-0307
Phone (270) 444-8183

Other identifiers 2

IdentifierTypeStateIssuer
65930786MedicaidKY
7100710340MedicaidKY

Other names 2

  • Heartland CARES, Inc. Former legal business name
  • LivWell Community Health Services, Inc. Other name

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in KY

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20040907000438 KY Part B Supplier - Clinic/Group Practice 0244206712 Receives reassigned benefits from 4 practitioners
Practice locations: Paducah, KY; Hopkinsville, KY

Laboratory certificates & supplier records

Derived by NPIMap

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

CLIA numberLaboratoryCertificateExpires
18D1003470Livwell Community Health Services1903 Broadway Street, Paducah, KY 42001Certificate of waiverAug 29, 2026

National Provider Directory

National Provider Directory

Locations

1700 Canton St
Hopkinsville, KY 42240
Phone (270) 887-4160

408 W 17th St
Hopkinsville, KY 42240
Phone 27044481832144

3025 Clay St
Paducah, KY 42001
Phone (270) 443-1317

Practitioners & affiliated clinicians

Practitioners 5

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1118361600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1791244800000",
    "number": "1396749917",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017105",
            "telephone_number": "270-444-8183",
            "fax_number": "270-933-1969"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 BROADWAY ST",
            "city": "PADUCAH",
            "state": "KY",
            "postal_code": "420017105",
            "telephone_number": "270-444-8183",
            "fax_number": "247-044-8147"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1700 Canton St.",
            "address_2": "Christian County Health Department",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422401923",
            "country_code": "US",
            "telephone_number": "270-444-8183",
            "fax_number": "270-444-8147",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "1002 S Virginia St Ste 200",
            "address_purpose": "LOCATION",
            "city": "Hopkinsville",
            "state": "KY",
            "postal_code": "422403507",
            "country_code": "US",
            "telephone_number": "270-444-8183",
            "country_name": "United States",
            "address_type": "DOM"
        },
        {
            "address_1": "415 Health Department Road",
            "address_2": "Jackson County Health Department",
            "address_purpose": "LOCATION",
            "city": "Murphysboro",
            "state": "IL",
            "postal_code": "629660307",
            "country_code": "US",
            "telephone_number": "270-444-8183",
            "fax_number": "270-444-8147",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVWELL COMMUNITY HEALTH SERVICES, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-06-10",
        "last_updated": "2026-10-06",
        "certification_date": "2026-10-06",
        "status": "A",
        "authorized_official_last_name": "MEADOWS",
        "authorized_official_first_name": "LEEANNA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "270-444-8183"
    },
    "taxonomies": [
        {
            "code": "261QM1300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Multi-Specialty",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "363A00000X",
            "taxonomy_group": "",
            "desc": "Physician Assistant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "363LF0000X",
            "taxonomy_group": "",
            "desc": "Nurse Practitioner, Family",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "101YP2500X",
            "taxonomy_group": "",
            "desc": "Counselor, Professional",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "207RI0200X",
            "taxonomy_group": "",
            "desc": "Internal Medicine, Infectious Disease",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "65930786",
            "state": "KY"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "7100710340",
            "state": "KY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Heartland CARES, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "Heartland CARES, Inc.",
            "code": "4",
            "type": "Former Legal Business Name"
        },
        {
            "organization_name": "LivWell Community Health Services, Inc.",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

Other providers in Paducah, KY

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 6, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.