Organization Active NPI

Living Well Senior Care Inc.

  • In Home Supportive Care Agency
  • Concord, NC
National Provider Identifier
1487272357
Registry record updated Oct 13, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIVING WELL SENIOR CARE INC.
Practice address
140 Cabarrus Ave W
Concord, NC 28025-5150
Phone
(704) 918-5494
Fax
(800) 878-7151
NPI assigned
Jul 8, 2020
Last updated
Oct 13, 2021By the provider in NPPES
Organization subpart
Yes
Parent organization
THE INTERNATIONAL CENTER FOR WELLNESS COUNSELING AND CONSULTINGAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Oct 13, 2021

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

Authorized official

Name
Lekeshia M Lynch, LCSWNPI 1568899706
Title
Director of Health and Wellness
Phone
(704) 918-5494

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Durable Medical Equipment & Medical Supplies 332B00000X
Personal Care Attendant 3747P1801X
Respite Care 385H00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

140 Cabarrus Ave W
Concord, NC 28025-5150

Mailing address

4311 School House CMNS # 140
Harrisburg, NC 28075-7510
Phone (704) 918-5494

Electronic endpoints 1

TypeEndpointUseAffiliation
CONNECT URL 8008787151 Direct The International Center for Wellness Counseling and Consulting

National Provider Directory

National Provider Directory
Part of
The International Center for Wellness Counseling and Consulting

Locations

140 Cabarrus Ave W
Concord, NC 28025
Phone (704) 239-6321

78 Buffalo Ave NW
Ste 200C
Concord, NC 28025
Phone (704) 918-5494

Ownership & related parties

Parent organization (reported in NPPES) 1

This organization reports itself as a subpart in NPPES; the parent’s legal name matches this organization in the same state.

Practitioners & affiliated clinicians

Practitioners 3

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": "1594166400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1634083200000",
    "number": "1487272357",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4311 SCHOOL HOUSE CMNS # 140",
            "city": "HARRISBURG",
            "state": "NC",
            "postal_code": "280757510",
            "telephone_number": "704-918-5494",
            "fax_number": "800-878-7151"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 CABARRUS AVE W",
            "city": "CONCORD",
            "state": "NC",
            "postal_code": "280255150",
            "telephone_number": "704-918-5494",
            "fax_number": "800-878-7151"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL SENIOR CARE INC.",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "THE INTERNATIONAL CENTER FOR WELLNESS COUNSELING AND CONSULTING",
        "enumeration_date": "2020-07-08",
        "last_updated": "2021-10-13",
        "certification_date": "2021-10-13",
        "status": "A",
        "authorized_official_last_name": "LYNCH",
        "authorized_official_first_name": "LEKESHIA",
        "authorized_official_middle_name": "M",
        "authorized_official_title_or_position": "DIRECTOR OF HEALTH AND WELLNESS",
        "authorized_official_telephone_number": "704-918-5494",
        "authorized_official_credential": "LCSW"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [
        {
            "endpointType": "CONNECT",
            "endpointTypeDescription": "CONNECT URL",
            "endpoint": "8008787151",
            "affiliation": "Y",
            "endpointDescription": "agency fax",
            "affiliationName": "The International Center for Wellness Counseling and Consulting",
            "use": "DIRECT",
            "useDescription": "Direct",
            "contentType": "CSV",
            "contentTypeDescription": "CSV",
            "address_1": "78 Buffalo Ave NW Ste 200C",
            "city": "Concord",
            "state": "NC",
            "country_code": "US",
            "postal_code": "280254769",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "other_names": []
}

Other providers in Concord, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 13, 2021; 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.