Active NPI
Live Long Well Care Enterprises LLC
- Home Health Agency
- Charlotte, NC
National Provider Identifier
1831482421
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- License
- 299993376
- 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, 2011
- Organization subpart
- Yes
- Parent organization
- LIVE LONG WELL CARE, LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.