Living Life Long Residential Care

Primary specialty

Assisted Living Facility (Mental Illness)Taxonomy code 3104A0625X

Legal business name

LIVING LIFE LONG RESIDENTIAL CARE

Practice address

5076 Waterman Blvd
Saint Louis, MO 63108-1102

Phone

(314) 495-5498

Fax

(866) 883-0221

NPI assigned

Jun 20, 2023

Last updated

Jun 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Sherrone L. Beatty

Title

Managing Partner

Phone

(314) 497-5284

Specialties & licenses 2

Addresses

These CMS records do not include an NPI. They are shown because their name and street address match this provider’s.

CLIA laboratory certificates

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

{
    "created_epoch": "1687219200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1687219200000",
    "number": "1639854318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "303 UNION BLVD STE 300",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631084402",
            "telephone_number": "314-495-5498",
            "fax_number": "866-883-0221"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5076 WATERMAN BLVD",
            "city": "SAINT LOUIS",
            "state": "MO",
            "postal_code": "631081102",
            "telephone_number": "314-495-5498",
            "fax_number": "866-883-0221"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING LIFE LONG RESIDENTIAL CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-06-20",
        "last_updated": "2023-06-20",
        "certification_date": "2023-06-20",
        "status": "A",
        "authorized_official_last_name": "BEATTY",
        "authorized_official_first_name": "SHERRONE",
        "authorized_official_middle_name": "L.",
        "authorized_official_title_or_position": "MANAGING PARTNER",
        "authorized_official_telephone_number": "314-497-5284"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "3104A0625X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility, Assisted Living, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Cynthia Marie Lively, LCSW
• Mary C Livergood, M.D.
• Christopher David Livesay, D.O.
• Living Essentials Consumer Directed Services LLC
• Living Essentials in Home Services LLC
• Living Life Long, LLC
• Living Life Long, LLC (HomeWell Senior Care)
• Living My Best Life CDS, LLC
• Living Out Loud Counseling & Consultation
• Living Resources Home Care LLC

• Assisted Living Facility (Mental Illness) in Saint Louis, MO
• Providers in Saint Louis, MO by specialty
• Assisted Living Facility (Mental Illness) in Missouri

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 20, 2023; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.