Organization Active NPI

Living Well Texas Home Health Care, LLC

  • Home Health Agency
  • Cleburne, TX
National Provider Identifier
1700338795
Registry record updated Oct 26, 2016
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVING WELL TEXAS HOME HEALTH CARE, LLC
Practice address
1644 W Henderson St
#200
Cleburne, TX 76033-4026
Phone
(682) 970-6155
Fax
(682) 970-6255
NPI assigned
Oct 26, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 26, 2016

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

Authorized official

Name
Mrs. Kimberly Van Sicklen
Title
Owner
Phone
(682) 970-6155

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

1644 W Henderson St
#200
Cleburne, TX 76033-4026

Mailing address

1644 W Henderson St
#200
Cleburne, TX 76033-4026
Phone (682) 970-6155

National Provider Directory

National Provider Directory

Locations

1644 W Henderson St
Ste 200
Cleburne, TX 76033
Phone (682) 970-6155

NPI Registry JSON

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

{
    "created_epoch": "1477440000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1477440000000",
    "number": "1700338795",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1644 W HENDERSON ST",
            "address_2": "#200",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334026",
            "telephone_number": "682-970-6155",
            "fax_number": "682-970-6255"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1644 W HENDERSON ST",
            "address_2": "#200",
            "city": "CLEBURNE",
            "state": "TX",
            "postal_code": "760334026",
            "telephone_number": "682-970-6155",
            "fax_number": "682-970-6255"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL TEXAS HOME HEALTH CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-10-26",
        "last_updated": "2016-10-26",
        "status": "A",
        "authorized_official_last_name": "VAN SICKLEN",
        "authorized_official_first_name": "KIMBERLY",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "682-970-6155",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Cleburne, TX

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Oct 26, 2016; 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.