NPIMap

Organization Active NPI

Live Long Well Care, LLC

  • Home Health Agency
  • Amelia Island, FL
National Provider Identifier
1821260779
Registry record updated Apr 1, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVE LONG WELL CARE, LLC
Practice address
48 Osprey Village Dr
Amelia Island, FL 32034-4955
Phone
(704) 246-1616
NPI assigned
Apr 1, 2008
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 1, 2008

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

Authorized official

Name
Donald O. Thompson
Title
Manager
Phone
(704) 246-1616

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

48 Osprey Village Dr
Amelia Island, FL 32034-4955

Mailing address

10706 Sikes PL Ste 200
Charlotte, NC 28277-8015
Phone (704) 246-1616

Other names 1

  • Live Long Well Care of Nassau County Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Live Long Well Care LLC4 organizations share this tax ID, including this one

Other organizations with this tax ID 3

Organizations that report the same tax identification number in the National Provider Directory.

Locations

10706 Sikes Pl
Ste 200
Charlotte, NC 28277
Phone (704) 246-1620

NPI Registry JSON

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

{
    "created_epoch": "1207008000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1207008000000",
    "number": "1821260779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 SIKES PL STE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778015",
            "telephone_number": "704-246-1616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "48 OSPREY VILLAGE DR",
            "city": "AMELIA ISLAND",
            "state": "FL",
            "postal_code": "320344955",
            "telephone_number": "704-246-1616"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LONG WELL CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-04-01",
        "last_updated": "2008-04-01",
        "status": "A",
        "authorized_official_last_name": "THOMPSON",
        "authorized_official_first_name": "DONALD",
        "authorized_official_middle_name": "O.",
        "authorized_official_title_or_position": "MANAGER",
        "authorized_official_telephone_number": "704-246-1616"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Live Long Well Care of Nassau County",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Amelia Island, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 1, 2008; 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.