Active NPI
Living Healthy Inc
- Registered Nurse
- Broadview, IL
National Provider Identifier
1821379736
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Registered Nurse
- License
- 041-222787
- Legal business name
- LIVING HEALTHY INC
- Practice address
- 2205 W Roosevelt Road
Broadview, IL 60155 - Phone
- (708) 343-0682
- NPI assigned
- Sep 6, 2011
- Last updated
- Sep 6, 2011
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Wanda Kay Stallings
- Title
- President
- Phone
- (708) 343-0682
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Registered Nurse | 163W00000X | 041-222787 | IL | Primary |
Addresses
Primary practice location
2205 W Roosevelt Road
Broadview, IL 60155
Mailing address
P.O. Box 5002
River Forest, IL 60305
Phone (708) 343-0682
National Provider Directory
National Provider DirectoryLocations
2205 W Roosevelt Rd
Broadview, IL 60155
Phone (708) 343-0682
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1315267200000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1315267200000",
"number": "1821379736",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "P.O. BOX 5002",
"city": "RIVER FOREST",
"state": "IL",
"postal_code": "60305",
"telephone_number": "708-343-0682"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "2205 W ROOSEVELT ROAD",
"city": "BROADVIEW",
"state": "IL",
"postal_code": "60155",
"telephone_number": "708-343-0682"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING HEALTHY INC",
"organizational_subpart": "NO",
"enumeration_date": "2011-09-06",
"last_updated": "2011-09-06",
"status": "A",
"authorized_official_last_name": "STALLINGS",
"authorized_official_first_name": "WANDA",
"authorized_official_middle_name": "KAY",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "708-343-0682"
},
"taxonomies": [
{
"code": "163W00000X",
"taxonomy_group": "193400000X SINGLE SPECIALTY GROUP",
"desc": "Registered Nurse",
"state": "IL",
"license": "041-222787",
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Broadview, IL
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 6, 2011; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.