MEDICARE: LIVING WELL HOME CARE

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	253Z00000X	In Home Supportive Care Agency	HP0163400	NJ

General Provider Information

NPI Number	:	1689922163
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING WELL HOME CARE

Provider Business Mailing Address
First Line	:	61 SEAVIEW AVE
Second Line	:
City	:	MONMOUTH BEACH
State	:	NJ
Zip	:	07750-1219
Country	:	US
Telephone Number	:	732-222-1600
Fax Number	:	732-222-1611

Provider Business Practice Location Address
First Line	:	27 BEACH RD
Second Line	:
City	:	MONMOUTH BEACH
State	:	NJ
Zip	:	07750-1374
Country	:	US
Telephone Number	:	732-222-1600
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. NANCY ZARRIELLO
Credential	:
Telephone Number	:	732-222-1600

Provider Enumeration Date	:	08/15/2012
Last Update Date	:	08/15/2012

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Directions to “LIVING WELL HOME CARE ” Practice Location

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