Organization Active NPI

Living Well in Good Company LLC

  • Clinical Social Worker
  • Indianapolis, IN
National Provider Identifier
1700347697
Registry record updated Mar 25, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Clinical Social WorkerTaxonomy code 1041C0700X
Legal business name
LIVING WELL IN GOOD COMPANY LLC
Practice address
6284 Rucker Rd Ste N
Indianapolis, IN 46220-4851
Phone
(317) 430-0558
NPI assigned
Mar 25, 2019
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 25, 2019

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

Authorized official

Name
Mr. Paul Nelson GeorgeNPI 1093877094
Title
President
Phone
(317) 430-0558

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Clinical Social WorkerGroup: 193200000X MULTI-SPECIALTY GROUP 1041C0700X Primary
Physical TherapistGroup: 193200000X MULTI-SPECIALTY GROUP 225100000X

Addresses

Primary practice location

6284 Rucker Rd Ste N
Indianapolis, IN 46220-4851

Mailing address

6284 Rucker Rd Ste N
Indianapolis, IN 46220-4851
Phone (317) 430-0558

National Provider Directory

National Provider Directory

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

NPI Registry JSON

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

{
    "created_epoch": "1553472000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1553472000000",
    "number": "1700347697",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "6284 RUCKER RD STE N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204851",
            "telephone_number": "317-430-0558",
            "fax_number": "317-947-0595"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "6284 RUCKER RD STE N",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462204851",
            "telephone_number": "317-430-0558"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL IN GOOD COMPANY LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2019-03-25",
        "last_updated": "2019-03-25",
        "status": "A",
        "authorized_official_last_name": "GEORGE",
        "authorized_official_first_name": "PAUL",
        "authorized_official_middle_name": "NELSON",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "317-430-0558",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "1041C0700X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Social Worker, Clinical",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "225100000X",
            "taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
            "desc": "Physical Therapist",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Indianapolis, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 25, 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.