Living Well Family Care Inc

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

License

HC4070 Issued in NC

Legal business name

LIVING WELL FAMILY CARE INC

Practice address

3407 W Wendover Ave Ste C
Greensboro, NC 27407-1584

Phone

(336) 763-6998

Fax

(336) 763-6783

NPI assigned

Aug 29, 2016

Organization subpart

No

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

Authorized official

Name

Kimberly Lide

Title

Owner

Phone

(336) 763-6998

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1472428800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549929600000",
    "number": "1669928792",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3407 W WENDOVER AVE STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071584",
            "telephone_number": "336-763-6998",
            "fax_number": "336-763-6783"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3407 W WENDOVER AVE STE C",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274071584",
            "telephone_number": "336-763-6998",
            "fax_number": "336-763-6783"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL FAMILY CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-08-29",
        "last_updated": "2019-02-12",
        "status": "A",
        "authorized_official_last_name": "LIDE",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "336-763-6998"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NC",
            "license": "HC4070",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 12, 2019; 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.