Organization Active NPI

Live Long Well Care Enterprises LLC

  • Home Health Agency
  • Charlotte, NC
National Provider Identifier
1831482421
Registry record updated May 16, 2011
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
299993376 Issued in FL
Legal business name
LIVE LONG WELL CARE ENTERPRISES LLC
Practice address
10706 Sikes PL
Suite 200
Charlotte, NC 28277-8015
Phone
(704) 246-1620
Fax
(704) 246-1621
NPI assigned
May 16, 2011
Last updated
May 16, 2011By the provider in NPPES
Organization subpart
Yes
Parent organization
LIVE LONG WELL CARE, LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on May 16, 2011

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

Authorized official

Name
Donald O Thompson Jr.
Title
Manager
Phone
(704) 246-1620

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 299993376 FL Primary

Addresses

Primary practice location

10706 Sikes PL
Suite 200
Charlotte, NC 28277-8015

Mailing address

10706 Sikes PL
Suite 200
Charlotte, NC 28277-8015
Phone (704) 246-1620

National Provider Directory

National Provider Directory
Part of
Live Long Well Care LLC

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": "1305504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1305504000000",
    "number": "1831482421",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "10706 SIKES PL",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778015",
            "telephone_number": "704-246-1620",
            "fax_number": "704-246-1621"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "10706 SIKES PL",
            "address_2": "SUITE 200",
            "city": "CHARLOTTE",
            "state": "NC",
            "postal_code": "282778015",
            "telephone_number": "704-246-1620",
            "fax_number": "704-246-1621"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE LONG WELL CARE ENTERPRISES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVE LONG WELL CARE, LLC",
        "enumeration_date": "2011-05-16",
        "last_updated": "2011-05-16",
        "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": "704-246-1620",
        "authorized_official_name_suffix": "Jr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "FL",
            "license": "299993376",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Charlotte, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 16, 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.

Verify at the official NPI Registry.