Livingwell Home Medical Supplies Inc

Primary specialty

Durable Medical Equipment & Medical SuppliesTaxonomy code 332B00000X

License

456-1026819325-04 Issued in WI

Legal business name

LIVINGWELL HOME MEDICAL SUPPLIES INC

Practice address

3921 30TH Ave Ste B
Kenosha, WI 53144-1957

Phone

(262) 652-6288

Fax

(262) 652-6305

NPI assigned

Dec 23, 2010

Organization subpart

No

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

Authorized official

Name

Carmelo D Tenuta, PTNPI 1144267550

Title

Owner

Phone

(262) 652-6288

Specialties & licenses 1

Addresses

Other identifiers 1

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles.

• Carmelo D Tenuta, PT

  • Physical Therapist
  • Kenosha, WI
  • NPI 1144267550
  NPD (past) Authorized official

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

{
    "created_epoch": "1293062400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1330387200000",
    "number": "1912201534",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3921 30TH AVE STE B",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441957",
            "telephone_number": "262-652-6288",
            "fax_number": "262-652-6305"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3921 30TH AVE STE B",
            "city": "KENOSHA",
            "state": "WI",
            "postal_code": "531441957",
            "telephone_number": "262-652-6288",
            "fax_number": "262-652-6305"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGWELL HOME MEDICAL SUPPLIES INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-12-23",
        "last_updated": "2012-02-28",
        "status": "A",
        "authorized_official_last_name": "TENUTA",
        "authorized_official_first_name": "CARMELO",
        "authorized_official_middle_name": "D",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "262-652-6288",
        "authorized_official_credential": "PT"
    },
    "taxonomies": [
        {
            "code": "332B00000X",
            "taxonomy_group": "",
            "desc": "Durable Medical Equipment & Medical Supplies",
            "state": "WI",
            "license": "456-1026819325-04",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICARE",
            "identifier": "6631630001",
            "state": "WI"
        }
    ],
    "endpoints": [],
    "other_names": []
}

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• Carrie A Liu, CSAC
• Terry C. Liu, M.D.
• Livingwell N-Home Therapy LLC
• Livito LLC
• LJH Ambulance, Inc
• Locke Consulting Services Company
• Shellie Dee Locke, PH.D.

• Durable Medical Equipment & Medical Supplies in Kenosha, WI
• Providers in Kenosha, WI by specialty
• Durable Medical Equipment & Medical Supplies in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 28, 2012; 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.