Active NPI
Live Well Healthy Homecare LLC
- In Home Supportive Care Agency
- Shelby, NC
National Provider Identifier
1629731542
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- Legal business name
- LIVE WELL HEALTHY HOMECARE LLC
- Practice address
- 205 S Washington St
Shelby, NC 28150-4797 - Phone
- (828) 748-1013
- NPI assigned
- Oct 18, 2021
- Last updated
- Jun 4, 2022
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- April Hill
- Title
- Owner
- Phone
- (828) 748-1013
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Agency | 251E00000X | NU | ||
| In Home Supportive Care Agency | 253Z00000X | NU | Primary |
Addresses
Primary practice location
205 S Washington St
Shelby, NC 28150-4797
Mailing address
205 S Washington St
Shelby, NC 28150-4797
Phone (828) 748-1013
Other practice location 1
212 Cider Dr
Shelby, NC 28152-8928
Phone (704) 349-6480
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 1629731542 | Medicaid | NC |
Other names 1
- Live Well Healthy Homecare LLC
Electronic endpoints 1
| Type | Endpoint | Use | Affiliation |
|---|---|---|---|
| CONNECT URL | Livewell | Direct |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1634515200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1654300800000",
"number": "1629731542",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "205 S WASHINGTON ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504797",
"telephone_number": "828-748-1013"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "205 S WASHINGTON ST",
"city": "SHELBY",
"state": "NC",
"postal_code": "281504797",
"telephone_number": "828-748-1013"
}
],
"practiceLocations": [
{
"address_1": "212 Cider Dr",
"address_purpose": "LOCATION",
"city": "Shelby",
"state": "NC",
"postal_code": "281528928",
"country_code": "US",
"telephone_number": "704-349-6480",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "LIVE WELL HEALTHY HOMECARE LLC",
"organizational_subpart": "NO",
"enumeration_date": "2021-10-18",
"last_updated": "2022-06-04",
"certification_date": "2022-06-04",
"status": "A",
"authorized_official_last_name": "HILL",
"authorized_official_first_name": "APRIL",
"authorized_official_title_or_position": "OWNER",
"authorized_official_telephone_number": "828-748-1013"
},
"taxonomies": [
{
"code": "251E00000X",
"taxonomy_group": "",
"desc": "Home Health",
"state": "NU",
"license": null,
"primary": false
},
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "1629731542",
"state": "NC"
}
],
"endpoints": [
{
"endpointType": "CONNECT",
"endpointTypeDescription": "CONNECT URL",
"endpoint": "Livewell",
"affiliation": "N",
"endpointDescription": "Livewell",
"use": "DIRECT",
"useDescription": "Direct",
"contentType": "CSV",
"contentTypeDescription": "CSV",
"address_1": "205 S Washington St",
"city": "Shelby",
"state": "NC",
"country_code": "US",
"postal_code": "281504797",
"country_name": "United States",
"address_type": "DOM"
}
],
"other_names": [
{
"organization_name": "Live Well Healthy Homecare LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Live Well Healthy Homecare LLC",
"code": "3",
"type": "Doing Business As"
},
{
"organization_name": "Live Well Healthy Homecare LLC",
"code": "5",
"type": "Other Name"
}
]
}
Other providers in Shelby, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 4, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.