Llive Well Icf Inc

Primary specialty

Intellectual Disabilities Intermediate Care FacilityTaxonomy code 315P00000X

Legal business name

LLIVE WELL ICF INC

Practice address

11053 Sharp Avenue
Mission Hills, CA 91345

Phone

(818) 639-6379

Fax

(818) 285-3910

NPI assigned

Dec 30, 2014

Organization subpart

No

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

Authorized official

Name

Mr. Alexis Nixon, PA-C/DRHED.

Title

Admin

Phone

(323) 445-1522

Specialties & licenses 1

Addresses

Other names 1

• Llive Well ICF/DO-N Doing business as

Medicare fee-for-service enrollment

Not listed in the public Medicare enrollment file

Intermediate care facility for individuals with intellectual disabilities certification: CCN 55G741

Legal name

LIVE-WELL ICF/DD-N

Certification status

Active

Provider type (POS)

Intermediate care facility for individuals with intellectual disabilities

Participating since

Jul 21, 2016

Last certification

Feb 11, 2026

Beds

6

Ownership / control type

Private (proprietary)

Facility address

11053 Sharp Avenue
Mission Hills, CA 91345

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

{
    "created_epoch": "1419897600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1717113600000",
    "number": "1629466537",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "11053 SHARP AVENUE",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-639-6379",
            "fax_number": "818-285-3910"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "11053 SHARP AVENUE",
            "city": "MISSION HILLS",
            "state": "CA",
            "postal_code": "91345",
            "telephone_number": "818-639-6379",
            "fax_number": "818-285-3910"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LLIVE WELL ICF INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-12-30",
        "last_updated": "2024-05-31",
        "status": "A",
        "authorized_official_last_name": "NIXON",
        "authorized_official_first_name": "ALEXIS",
        "authorized_official_title_or_position": "ADMIN",
        "authorized_official_telephone_number": "323-445-1522",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_credential": "PA-C/DRHED."
    },
    "taxonomies": [
        {
            "code": "315P00000X",
            "taxonomy_group": "",
            "desc": "Intermediate Care Facility, Intellectual Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Llive Well ICF/DO-N",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kirstin E Linder, M.D.
• Sharon Lynn Lindsey, RPT.
• Lisa E.S. Veal, O.D., a Professional Optometric Corporation
• Tate Lizagub
• Miguel Lizama, MD
• Jessica Lopez, PTA
• Juliette M. Lopez, AMFT
• Lucia Concepcion Lopez
• Pedro N. Lopez, M.D.
• Stephanie Lopez, M.D.

• Intellectual Disabilities Intermediate Care Facility in Mission Hills, CA
• Providers in Mission Hills, CA by specialty
• Intellectual Disabilities Intermediate Care Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 31, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.