Organization Active NPI

Livewell Alliance, Inc.

Doing business as LiveWell

  • Alzheimer Center (Dementia Center)
  • Plantsville, CT
National Provider Identifier
1992737662
Registry record updated Mar 31, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
Alzheimer Center (Dementia Center)Taxonomy code 311500000X
License
2093-C Issued in CT
Legal business name
LIVEWELL ALLIANCE, INC.
Doing business as
LiveWell
Practice address
1261 S Main St
Plantsville, CT 06479-1720
Phone
(860) 628-9000
Fax
(860) 621-8083
NPI assigned
Jul 6, 2006
Last updated
Mar 31, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 31, 2022

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

Authorized official

Name
Anya Marisse Bounds
Title
Dir. of Rev & Reimbursement
Phone
(860) 628-3059

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Alzheimer Center (Dementia Center) 311500000X 2093-C CT Primary
Skilled Nursing Facility 314000000X 2093-C CT

Addresses

Primary practice location

1261 S Main St
Plantsville, CT 06479-1720

Mailing address

1261 S Main St
Plantsville, CT 06479-1720
Phone (860) 628-9000

Other identifiers 1

IdentifierTypeStateIssuer
000020933MedicaidCT

Other names 1

  • LiveWell Doing business as

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in CT

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20100511000827 CT Part A Provider - Skilled Nursing Facility 1052449162 Practice locations: Plantsville, CT

NPI to CCN mapping 1

The Medicare certification numbers (CCNs) connected to NPI 1992737662. Details of each certification follow.

Skilled nursing facility certification: CCN 075378

Legal name
LIVEWELL ALLIANCE INC
Doing business as
ALZHEIMERS RESOURCE CENTER OF CONNECTICUT, INC
Certification status
Active
Provider type (POS)
Nursing home – SNF/NF dual certification
Participating since
Nov 13, 1992
Last certification
Mar 28, 2025
Beds
120
Ownership / control type
Nonprofit Corporation
Organization structure
CorporationNon-profit
Incorporated
Feb 27, 1990 in CT
Enrollment address
1261 S Main St
Plantsville, CT 06479-1750
Nursing home name
LIVEWELL CONNECTICUT

Other NPIs with the same Medicare PAC ID 1

NPIs whose Medicare enrollments share a PECOS associate control ID (the same enrolled entity).

Care Compare: Nursing home

Medicare Care Compare
Listed as
Livewell ConnecticutCCN 075378 · All quality measures
Overall star rating
5 of 5
Health inspections
4 of 5
Staffing
5 of 5
Quality measures
4 of 5
Type
Medicare and Medicaid
Ownership
Non profit - Corporation
Certified
Nov 13, 1992
Medicare certification status
ActiveFrom the Provider of Services file
Certified beds
12075.1 residents per day on average

Processed by Care Compare on Aug 1, 2026.

National Provider Directory

National Provider Directory

Ownership & related parties

All disclosed owners & managing parties 5

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Elizabeth Reese Individual Corporate DirectorBoard Member Jun 1, 2010
Michael J Smith Individual Corporate OfficerPresident & Ceo Sep 9, 2020 50%
Operational/Managerial ControlPresident + Ceo Jan 2, 1996 100%
Michael Lenkiewicz Individual Corporate OfficerBoard Member-Treasurer Jun 1, 2003
Julie Thompson Robison Individual Corporate OfficerBoard Member-Secretary Aug 1, 2000
Maley Williams Hunt Individual Corporate DirectorCoo Sep 9, 2020 50%
Operational/Managerial ControlCoo Sep 9, 2020

Practitioners & affiliated clinicians

Affiliated clinicians 3

Clinicians who list this facility as an affiliation in Medicare Care Compare.

NPI Registry JSON

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

{
    "created_epoch": "1152144000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1648684800000",
    "number": "1992737662",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1261 S MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791720",
            "telephone_number": "860-628-9000",
            "fax_number": "860-621-8083"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1261 S MAIN ST",
            "city": "PLANTSVILLE",
            "state": "CT",
            "postal_code": "064791720",
            "telephone_number": "860-628-9000",
            "fax_number": "860-621-8083"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVEWELL ALLIANCE, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-07-06",
        "last_updated": "2022-03-31",
        "certification_date": "2022-03-31",
        "status": "A",
        "authorized_official_last_name": "BOUNDS",
        "authorized_official_first_name": "ANYA",
        "authorized_official_middle_name": "MARISSE",
        "authorized_official_title_or_position": "DIR. OF REV & REIMBURSEMENT",
        "authorized_official_telephone_number": "860-628-3059"
    },
    "taxonomies": [
        {
            "code": "311500000X",
            "taxonomy_group": "",
            "desc": "Alzheimer Center (Dementia Center)",
            "state": "CT",
            "license": "2093-C",
            "primary": true
        },
        {
            "code": "314000000X",
            "taxonomy_group": "",
            "desc": "Skilled Nursing Facility",
            "state": "CT",
            "license": "2093-C",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "000020933",
            "state": "CT"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LiveWell",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Plantsville, CT

Sources for this page

Verify at the official NPI Registry.