Livewell Home Care Services LLC

Primary specialty

In Home Supportive Care AgencyTaxonomy code 253Z00000X

Legal business name

LIVEWELL HOME CARE SERVICES LLC

Practice address

4424 Dickinson Rd
De Pere, WI 54115-9718

Phone

(920) 366-0735

NPI assigned

Nov 19, 2024

Organization subpart

No

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

Authorized official

Name

Chad Hendra

Title

Owner

Phone

(920) 600-8288

Specialties & licenses 1

Addresses

Other names 1

• Amada Senior Care Green Bay Doing business as

Locations

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

{
    "created_epoch": "1731974400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1731974400000",
    "number": "1922823558",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4424 DICKINSON RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159718"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4424 DICKINSON RD",
            "city": "DE PERE",
            "state": "WI",
            "postal_code": "541159718",
            "telephone_number": "920-366-0735"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL HOME CARE SERVICES LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-11-19",
        "last_updated": "2024-11-19",
        "certification_date": "2024-11-19",
        "status": "A",
        "authorized_official_last_name": "HENDRA",
        "authorized_official_first_name": "CHAD",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "920-600-8288"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Amada Senior Care Green Bay",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Kristen Ann Lindgren, MD
• Timothy W Lineberry, M.D.
• Jason Scott Linssen, PTA
• Craig Linzmeier, LPC
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• Emma Marie Louie, PT, DPT
• Darelynn Marie Louscher, APNP

• In Home Supportive Care Agency in De Pere, WI
• Providers in De Pere, WI by specialty
• In Home Supportive Care Agency in Wisconsin

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 19, 2024; 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.