Live Well - Nyob Zoo Home Care LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIVE WELL - NYOB ZOO HOME CARE LLC

Practice address

7716 Upton Ave N
Brooklyn Park, MN 55444-1861

Phone

(414) 688-7966

NPI assigned

Oct 18, 2018

Organization subpart

No

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

Authorized official

Name

Xee Chang

Title

Administrator

Phone

(414) 688-7966

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1539820800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606694400000",
    "number": "1699241570",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7716 UPTON AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441861",
            "telephone_number": "414-688-7966"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7716 UPTON AVE N",
            "city": "BROOKLYN PARK",
            "state": "MN",
            "postal_code": "554441861",
            "telephone_number": "414-688-7966"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL - NYOB ZOO HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-10-18",
        "last_updated": "2020-11-30",
        "certification_date": "2020-11-30",
        "status": "A",
        "authorized_official_last_name": "CHANG",
        "authorized_official_first_name": "XEE",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "414-688-7966"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "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 Nov 30, 2020; 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.