Proactive Living Homecare LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

PROACTIVE LIVING HOMECARE LLC

Practice address

509 Walnut St FL 2
Irwin, PA 15642-3531

Phone

(724) 516-1449

NPI assigned

May 20, 2024

Organization subpart

No

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

Authorized official

Name

Lanise Jones

Title

President

Phone

(724) 516-1449

Specialties & licenses 2

Addresses

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

{
    "created_epoch": "1716163200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1716163200000",
    "number": "1760221949",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "509 WALNUT ST FL 2",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423531",
            "telephone_number": "724-516-1449"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "509 WALNUT ST FL 2",
            "city": "IRWIN",
            "state": "PA",
            "postal_code": "156423531",
            "telephone_number": "724-516-1449"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "PROACTIVE LIVING HOMECARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-05-20",
        "last_updated": "2024-05-20",
        "certification_date": "2024-05-20",
        "status": "A",
        "authorized_official_last_name": "JONES",
        "authorized_official_first_name": "LANISE",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "724-516-1449"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Catherine Louise Ponterio, MS, BCBA, LBS
• Michael David Poskus, LCSW
• Juanita Powell
• Premier Medical Associates, P.C.
• Hayley Principe
• Jodi Lynn Procida
• Ashlee Pugh
• Karley Pulkownik
• Benjamin Pyles
• Jordan Rabner

• In Home Supportive Care Agency in Irwin, PA
• Providers in Irwin, PA by specialty
• In Home Supportive Care Agency in Pennsylvania

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 20, 2024; 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.