LIVING WELL FAMILY CARE INC (NPI# 1669928792) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1669928792 |
| Entity Type | Organization |
| Organization Name | LIVING WELL FAMILY CARE INC |
| Practice Address |
3407 W Wendover Ave Ste C Greensboro NC 27407-1584 |
| Practice Telephone | 3367636998 |
| Practice Fax Number | 3367636783 |
| Mailing Telephone | 3367636998 |
| Mailing Fax Number | 3367636783 |
| Enumeration Date | 2016-08-29 |
| Last Update Date | 2019-02-12 |
| Authorized Official Name | KIMBERLY LIDE (OWNER) |
| Authorized Official Telephone | 3367636998 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 253Z00000X | In Home Supportive Care | HC4070 | NC | Agencies |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | Living Well Family Care Inc. | 3407 West Wendover Ave Suite B, Greensboro, North Carolina 27407 |
| Street Address |
3407 W WENDOVER AVE STE C |
| City | GREENSBORO |
| State | NC |
| Zip Code | 27407-1584 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1376983304 | Reching Your Goals | Community/Behavioral Health | 3407 W Wendover Ave Ste C, Greensboro, NC 27407-1584 | 2013-07-05 |
| 1508288770 | Leona Turner | Social Worker | 3407 W Wendover Ave Ste C, Greensboro, NC 27407-1584 | 2014-01-07 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1093326019 | Marie Louise Phillips | Behavior Technician | 111 Domona Dr, Unit 6, Greensboro, NC 27407 | 2020-08-13 |
| 1306472709 | Blondine Yvonne Wynn | Home Health Aide | 2812 Apt 2g Vanstory Street, Greesboro, NC 27407 | 2020-03-17 |
| 1104452994 | Monyetta Marie Howell | Counselor | 2216 W. Meadowview Road, Wilmington Bldg. Suite 207, Greensboro, NC 27407 | 2020-03-12 |
| 1215456769 | Tiffany R. Wright | Massage Therapist | 317 H South Westgate Drive, Greensboro, NC 27407 | 2017-09-15 |
| 1992225676 | Kendra Edwards | Social Worker | 1 Centerview Dr Ste 103, Greensboro, NC 27407 | 2017-06-22 |
| 1477902674 | Triad Integrative Wellness Center Inc | Acupuncturist | 315j South Westgate Dr, Greensboro, NC 27407 | 2016-06-08 |
| 1083098354 | Kathryn Theall | Counselor | 1901 Adams Farm Pkwy, Greensboro, NC 27407 | 2015-07-16 |
| 1962886333 | Harris Teeter LLC | Durable Medical Equipment & Medical Supplies | 5710-w West Gate City Blvd, Greensboro, NC 27407 | 2015-07-16 |
| 1619356177 | Lindsey King | Registered Nurse | 302 Pomona Drive, Greensboro, NC 27407 | 2015-05-29 |
| 1255737664 | M.a.p.p.s. | Clinic/Center | 2216 West Meadowview Road Ste 204, Greensboro, NC 27407 | 2014-11-12 |
| Find all providers in zip 27407 | ||||
| Taxonomy Code | 253Z00000X |
| Grouping | Agencies |
| Classification | In Home Supportive Care |
| An In Home Supportive Care Agency provides services in the patient’s home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. |
| Notes: Source: National Uniform Claim Committee, 2008 [7/1/2008: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1083223358 | A Johnson Sparkle LLC | In Home Supportive Care | 2305 Cottage Pl, Greensboro, NC 27455-2910 | 2020-07-23 |
| 1659980977 | R&l Dedicated Home Care LLC | In Home Supportive Care | 3987 Orchard Knoll Dr, Greensboro, NC 27405-8507 | 2020-07-23 |
| 1669095014 | Well-spring Home Care LLC | In Home Supportive Care | 3859 Battleground Avenue, Suite 301, Greensboro, NC 27410 | 2020-05-20 |
| 1013544782 | Williams Family Veteran Care Society | In Home Supportive Care | 3902 Woodberry Lake Dr, Greensboro, NC 27455-0944 | 2020-03-24 |
| 1023649209 | Divine Intervention Home Care | In Home Supportive Care | 717 Green Valley Rd Ste 205, Greensboro, NC 27408-2155 | 2020-01-28 |
| 1699337105 | Rescuing Hands Home Care | In Home Supportive Care | 907 Shelby Dr Apt F, Greensboro, NC 27409-2240 | 2019-07-03 |
| 1295298636 | Amber J Cohen | In Home Supportive Care | 17 Meadow Crossing Ct, Greensboro, NC 27410-9734 | 2019-04-11 |
| 1710484126 | Southeast Home Care, LLC | In Home Supportive Care | 437 W Friendly Ave Ste 111, Greensboro, NC 27401-2234 | 2018-04-11 |
| 1700387297 | Intellichoice Staffing LLC | In Home Supportive Care | 5 Dundas Cir Ste F, Greensboro, NC 27407-1638 | 2018-02-21 |
| 1265930523 | Peace Zone Home Care, Inc | In Home Supportive Care | 4925 W Market St Ste 1113, Greensboro, NC 27407-1566 | 2018-01-31 |
| Find all providers in GREENSBORO | ||||
| City | GREENSBORO |
| Zip Code | 27407 |
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| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.