Active NPI
Livewell Alliance, Inc.
Doing business as LiveWell
- Alzheimer Center (Dementia Center)
- Plantsville, CT
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Alzheimer Center (Dementia Center)
- License
- 2093-C
- 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, 2022
- Organization subpart
- No
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 000020933 | Medicaid | CT |
Other names 1
- LiveWell
Medicare participation
Medicare enrollment files- Medicare fee-for-service enrollment
- Enrolled in CT
Enrollment records 1
| Enrollment ID | State | Provider type | PAC ID | Details |
|---|---|---|---|---|
| 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
- Corporation
- 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 Connecticut
- Overall star rating
- Health inspections
- Staffing
- Quality measures
- Type
- Medicare and Medicaid
- Ownership
- Non profit - Corporation
- Certified
- Nov 13, 1992
- Medicare certification status
- Active
- Certified beds
- 120
National Provider Directory
National Provider DirectoryOwnership & 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.
| Name | Role | Since | Share |
|---|---|---|---|
| Elizabeth Reese | Corporate Director | Jun 1, 2010 | |
| Michael J Smith | Corporate Officer | Sep 9, 2020 | 50% |
| Operational/Managerial Control | Jan 2, 1996 | 100% | |
| Michael Lenkiewicz | Corporate Officer | Jun 1, 2003 | |
| Julie Thompson Robison | Corporate Officer | Aug 1, 2000 | |
| Maley Williams Hunt | Corporate Director | Sep 9, 2020 | 50% |
| Operational/Managerial Control | Sep 9, 2020 |
Practitioners & affiliated clinicians
Affiliated clinicians 3
Clinicians who list this facility as an affiliation in Medicare Care Compare.
-
- Geriatric Medicine (Internal Medicine) Physician
- Bristol, CT
- NPI 1194050179
Nursing home
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
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 31, 2022; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
- Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.