Active NPI
Living Well Senior Care Inc.
- In Home Supportive Care Agency
- Concord, NC
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- 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, 2021
- Organization subpart
- Yes
- Parent organization
- THE INTERNATIONAL CENTER FOR WELLNESS COUNSELING AND CONSULTING
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Lekeshia M Lynch, LCSW
- 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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| 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.
-
- Clinical Social Worker
- Concord, NC
- NPI 1114421310
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.
-
- Clinical Social Worker
- Concord, NC
- NPI 1568899706
-
- Mental Health Counselor
- Concord, NC
- NPI 1669176533
-
- Clinical Social Worker
- Concord, NC
- NPI 1093382665
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.