Living Well Home Care, LLC.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIVING WELL HOME CARE, LLC.

Practice address

16341 NW 17TH St
Pembroke Pines, FL 33028-1722

Phone

(305) 479-2412

Fax

(305) 433-7024

NPI assigned

Oct 10, 2008

Last updated

Sep 27, 2011By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mr. Guy-Alain Isma

Title

Administrator

Phone

(305) 432-3282

Specialties & licenses 1

Addresses

Locations

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

{
    "created_epoch": "1223596800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1317081600000",
    "number": "1841441631",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "18350 NW 2ND AVE",
            "address_2": "SUITE NO. 503",
            "city": "MIAMI GARDENS",
            "state": "FL",
            "postal_code": "331694519",
            "telephone_number": "305-479-2412",
            "fax_number": "305-433-7024"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "16341 NW 17TH ST",
            "city": "PEMBROKE PINES",
            "state": "FL",
            "postal_code": "330281722",
            "telephone_number": "305-479-2412",
            "fax_number": "305-433-7024"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WELL HOME CARE, LLC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2008-10-10",
        "last_updated": "2011-09-27",
        "status": "A",
        "authorized_official_last_name": "ISMA",
        "authorized_official_first_name": "GUY-ALAIN",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "305-432-3282",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 27, 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.