Organization Active NPI

Live Well Senior Care

  • In Home Supportive Care Agency
  • Mesa, AZ
National Provider Identifier
1912574591
Registry record updated Jun 10, 2021
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIVE WELL SENIOR CARE
Practice address
1855 E Southern Ave Ste 107
Mesa, AZ 85204-5227
Phone
(480) 809-7575
Fax
(480) 393-2909
NPI assigned
Jun 10, 2021
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 10, 2021

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

Authorized official

Name
Janalyn Brady
Title
Owner
Phone
(480) 809-7575

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1855 E Southern Ave Ste 107
Mesa, AZ 85204-5227

Mailing address

1855 E Southern Ave Ste 107
Mesa, AZ 85204-5227
Phone (480) 809-7575

National Provider Directory

National Provider Directory

Locations

1855 E Southern Ave
Ste 107
Mesa, AZ 85204
Phone (480) 809-7575

NPI Registry JSON

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

{
    "created_epoch": "1623283200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1623283200000",
    "number": "1912574591",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1855 E SOUTHERN AVE STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045227",
            "telephone_number": "480-809-7575",
            "fax_number": "480-393-2909"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1855 E SOUTHERN AVE STE 107",
            "city": "MESA",
            "state": "AZ",
            "postal_code": "852045227",
            "telephone_number": "480-809-7575",
            "fax_number": "480-393-2909"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVE WELL SENIOR CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-06-10",
        "last_updated": "2021-06-10",
        "certification_date": "2021-06-10",
        "status": "A",
        "authorized_official_last_name": "BRADY",
        "authorized_official_first_name": "JANALYN",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "480-809-7575"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Mesa, AZ

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 10, 2021; 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.