LIVEWELL ALLIANCE, INC. (NPI# 1992737662) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1992737662 |
| Entity Type | Organization |
| Organization Name | LIVEWELL ALLIANCE, INC. |
| Other Organization Name | LIVEWELL |
| Practice Address |
1261 S Main St Plantsville CT 06479-1720 |
| Practice Telephone | 8606289000 |
| Practice Fax Number | 8606218083 |
| Mailing Telephone | 8606289000 |
| Mailing Fax Number | 8606218083 |
| Enumeration Date | 2006-07-06 |
| Last Update Date | 2018-01-16 |
| Authorized Official Name | MR. MICHAEL J. SMITH (PRESIDENT/CEO) |
| Authorized Official Telephone | 8606289000 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 314000000X | Skilled Nursing Facility | 2093-C | CT | Nursing & Custodial Care Facilities |
| Y | 311500000X | Alzheimer Center (Dementia Center) | 2093-C | CT | Nursing & Custodial Care Facilities |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| CT | 000020933 | 05 |
| Other Name | Type Code |
|---|---|
| LiveWell | Doing Business As Name - Organization |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1396271532 | Livewell Alliance, Inc. | Social Worker | 1261 S Main St, Plantsville, CT 06479-1750 | 2017-05-09 |
| Street Address |
1261 S MAIN ST |
| City | PLANTSVILLE |
| State | CT |
| Zip Code | 06479-1720 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629622790 | Ashley Kalman | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2019-07-27 |
| 1306308952 | Teresa Lohr | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2019-04-03 |
| 1891282356 | Jennifer Michelle D'eugenio | Social Worker | 1261 S Main St, Plantsville, CT 06479-1750 | 2018-04-19 |
| 1467969626 | Marissa Ann Briere | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2018-01-09 |
| 1104333418 | Ewa Blaszczyk | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2018-01-08 |
| 1396271532 | Livewell Alliance, Inc. | Social Worker | 1261 S Main St, Plantsville, CT 06479-1750 | 2017-05-09 |
| 1821537648 | Resilient Living PC | Internal Medicine | 1261 S Main St, Plantsville, CT 06479-1750 | 2017-02-13 |
| 1689833345 | Stephani Shivers | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2008-06-06 |
| 1295931178 | Caroline Kate Keefe | Occupational Therapist | 1261 S Main St, Plantsville, CT 06479-1750 | 2007-06-26 |
| 1548386469 | Roberta Macritchie | Physical Therapist | 1261 S Main St, Plantsville, CT 06479-1720 | 2007-03-22 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1124586839 | Ashley Dacosta | Social Worker | 1460 Meriden-waterbury Turnpike, Plantsville, CT 06479 | 2019-03-12 |
| 1598263881 | Cassandra Marcheggiani, LLC | Social Worker | 710 Main Street Bldg 2, Ste. 5, Plantsville, CT 06479 | 2018-02-01 |
| 1225446883 | Haley R Baumgarten | Music Therapist | 1678 Meriden-waterbury Turnpike, Southington, CT 06479 | 2014-07-28 |
| 1134550023 | Melanie Ann Edman | Social Worker | 29 Charles Street, Plantsville, CT 06479 | 2013-12-03 |
| 1447524228 | Joseph Anthony Picone Sr. | Dentist | 954 S. Main St., Plantsville, CT 06479 | 2012-02-27 |
| 1760784250 | Jsl Connections, LLC | Counselor | 16 Cornerstone Court, Suite 5, Plantsville, CT 06479 | 2010-12-03 |
| 1710125026 | Paul Poutouves | Physical Therapist | 149 Jubilee Dr, Plantsville, CT 06479 | 2009-01-23 |
| 1871709725 | Essential Dental, LLC | Dentist | 1090 Meriden Waterbury Tpke, Suite 2, Plantsville, CT 06479 | 2007-05-15 |
| 1568680528 | Alkesh V Patel Md LLC | Pediatrics | 710 Main Street Bldg 1, Plantsville, CT 06479 | 2007-04-23 |
| 1083754964 | Neil D Salesky | Dentist | 15 3a Cornerstone Ct, Plantsville, CT 06479 | 2007-02-08 |
| Find all providers in zip 06479 | ||||
| Taxonomy Code | 311500000X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Alzheimer Center (Dementia Center) |
| A freestanding facility or special care unit of a long term care facility focusing on patient care of individuals diagnosed with dementia or Alzheimer’s Disease or their related diseases. Six elements of the facility/unit set it apart from other (the rest of the) facilities(y): Admission of residents with dementia (including those with Alzheimer's disease); Staff who are specially selected, trained, and supervised; Activities that are specifically designed for the cognitively impaired; A marketing of a special care unit in brochures; A high level of family involvement; and A physical environment designed to keep residents safe and segregated from other populations. |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1194215046 | Brightview Shelton LLC | Alzheimer Center (Dementia Center) | 30 Beard Sawmill Road, Shelton, CT 06484 | 2018-05-16 |
| 1497105092 | Brightview Norwalk, LLC | Alzheimer Center (Dementia Center) | 162 New Canaan Ave., Norwalk, CT 06850 | 2016-06-15 |
| 1679783229 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 60 Cold Spring Rd, Rocky Hill, CT 06067-3175 | 2007-05-23 |
| 1992033674 | Emeritus Corporation | Alzheimer Center (Dementia Center) | 330 Amity Rd, Woodbridge, CT 06525-2131 | 2009-11-18 |
| City | PLANTSVILLE |
| Zip Code | 06479 |
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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.