Live a Legacy Vent Care Home, LLC.

Primary specialty

Home Health Registered NurseTaxonomy code 163WH0200X

License

753086 Issued in WA

Legal business name

LIVE A LEGACY VENT CARE HOME, LLC.

Practice address

216 NE 151St Ave
Vancouver, WA 98684-8171

Phone

(360) 828-1873

NPI assigned

Jul 13, 2016

Organization subpart

No

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

Authorized official

Name

Diana Nicorici, RN

Title

Owner

Phone

(360) 828-1873

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1468368000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1468368000000",
    "number": "1508219692",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 874045",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986874045",
            "telephone_number": "360-828-1873",
            "fax_number": "360-838-8838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "216 NE 151ST AVE",
            "city": "VANCOUVER",
            "state": "WA",
            "postal_code": "986848171",
            "telephone_number": "360-828-1873"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE A LEGACY VENT CARE HOME, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-13",
        "last_updated": "2016-07-13",
        "status": "A",
        "authorized_official_last_name": "NICORICI",
        "authorized_official_first_name": "DIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "360-828-1873",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "163WH0200X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Registered Nurse, Home Health",
            "state": "WA",
            "license": "753086",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Elizabeth Pilar Liu, PMHNP-BC
• Joyce Christine Liu, M.D.
• Michael Liu, MD
• Xiya Liu
• Yu-Fang Nancy Liu, MD
• Lively Care Afh LLC
• Living Tree Counseling Services
• Virgil Gene Livingston, MD-DPM
• Kaylee Llacuna
• Ashley Llewellyn, PA-C

• Home Health Registered Nurse in Vancouver, WA
• Providers in Vancouver, WA by specialty
• Home Health Registered Nurse in Washington

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 13, 2016; 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.