Living Dementia Well at Home Company

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HP0276000 Issued in NJ

Legal business name

LIVING DEMENTIA WELL AT HOME COMPANY

Practice address

302 Main St
Hackettstown, NJ 07840-2004

Phone

(908) 651-5625

Fax

(908) 651-5631

NPI assigned

Apr 20, 2018

Organization subpart

Yes

Parent organization

LIVING DEMENTIA EDUCATION & TRAINING INSTITUTEAs reported in NPPES

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

Authorized official

Name

Mrs. Darlene Tranquilli, CDP, CDCM, CADDCT

Title

Chief Executive Officer

Phone

(908) 651-5625

Specialties & licenses 1

Addresses

Other identifiers 1

Part of

Living Dementia Well at Home Company

Locations

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

{
    "created_epoch": "1524182400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1529107200000",
    "number": "1477040897",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "308 MAIN ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402055",
            "telephone_number": "908-651-5625",
            "fax_number": "908-651-5631"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "302 MAIN ST",
            "city": "HACKETTSTOWN",
            "state": "NJ",
            "postal_code": "078402004",
            "telephone_number": "908-651-5625",
            "fax_number": "908-651-5631"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING DEMENTIA WELL AT HOME COMPANY",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVING DEMENTIA EDUCATION & TRAINING INSTITUTE",
        "enumeration_date": "2018-04-20",
        "last_updated": "2018-06-16",
        "status": "A",
        "authorized_official_last_name": "TRANQUILLI",
        "authorized_official_first_name": "DARLENE",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "908-651-5625",
        "authorized_official_name_prefix": "Mrs.",
        "authorized_official_credential": "CDP, CDCM, CADDCT"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": "HP0276000",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "HOME HEALTH AGENCY",
            "identifier": "HP0276000",
            "state": "NJ"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Jonathan Adam Liegner, DMD
• Bryan Linares
• Casimiera Liobe, APN
• Paul M. Littman, D.O.
• Live Fully Now Rehab and Wellness
• Pak-Kan Albert Lo, M.D.
• James A Long Jr., LCSW
• Longa Health Services ,LLC
• Peter Waran Longa, MSN, APN-C, FNP
• Longevity Healthcare Associates

• Home Health Agency in Hackettstown, NJ
• Providers in Hackettstown, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 16, 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.