MEDICARE: LIVE WELL CARE SERVICES LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	3747A0650X	Attendant Care Provider

General Provider Information

NPI Number	:	1265380414
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVE WELL CARE SERVICES LLC

Provider Business Mailing Address
First Line	:	3045 N 67TH AVE APT 3044
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-5770
Country	:	US
Telephone Number	:	928-843-9707
Fax Number	:

Provider Business Practice Location Address
First Line	:	3045 N 67TH AVE APT 3044
Second Line	:
City	:	PHOENIX
State	:	AZ
Zip	:	85033-5770
Country	:	US
Telephone Number	:	928-843-9707
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	CECILIA HUERTA PINA
Credential	:
Telephone Number	:	928-843-9707

Provider Enumeration Date	:	03/20/2026
Last Update Date	:	03/20/2026

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Directions to “LIVE WELL CARE SERVICES LLC ” Practice Location

Language	Start Address	Practice Location

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