Living Well Adult Living

Primary specialty

Adult Care Home FacilityTaxonomy code 311ZA0620X

License

RN9462914 Issued in FL

Legal business name

LIVING WELL ADULT LIVING

Practice address

2911 Wheeler St
Bartow, FL 33830-9316

Phone

(813) 240-6199

NPI assigned

Sep 20, 2017

Last updated

Sep 20, 2017By 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

Ms. Louna Matieu, RN

Title

Co-Director

Phone

(813) 240-6199

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1505865600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1505865600000",
    "number": "1730698929",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 POINSETTIA RD",
            "city": "AUBURNDALE",
            "state": "FL",
            "postal_code": "338234520",
            "telephone_number": "863-595-5845"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2911 WHEELER ST",
            "city": "BARTOW",
            "state": "FL",
            "postal_code": "338309316",
            "telephone_number": "813-240-6199"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL ADULT LIVING",
        "organizational_subpart": "NO",
        "enumeration_date": "2017-09-20",
        "last_updated": "2017-09-20",
        "status": "A",
        "authorized_official_last_name": "MATIEU",
        "authorized_official_first_name": "LOUNA",
        "authorized_official_title_or_position": "CO-DIRECTOR",
        "authorized_official_telephone_number": "813-240-6199",
        "authorized_official_name_prefix": "Ms.",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "RN9462914",
            "primary": true
        },
        {
            "code": "311ZA0620X",
            "taxonomy_group": "",
            "desc": "Custodial Care Facility, Adult Care Home",
            "state": "FL",
            "license": "RN9416352",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• LC Healthcare Inc (TLC Healthcare)
• Deborah Suzanne Ledford
• Linda J May DDS PA
• Sharee Lino-Covil
• Jessica Little, LMHC
• Jessica Lopez Phelps, M.D.
• Ivette Y Lopez, CASEMANAGER
• Lotu Medical Transportllc
• Lotus Medical Transport, LLC
• Judy Loud, RMHCI

• Adult Care Home Facility in Bartow, FL
• Providers in Bartow, FL by specialty
• Adult Care Home Facility in Florida

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2017; 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.