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NPI Code Detail

MEDICARE: LIVASSIST LLC

MEDICARE: LIVASSIST 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1730988742
Entity Type Code : Organization
Provider Name (Legal Business Name) : LIVASSIST LLC
Provider Business Mailing Address
First Line : 2550 W UNION HILLS DR STE 350
Second Line :
City : PHOENIX
State : AZ
Zip : 85027-5187
Country : US
Telephone Number : 866-488-6565
Fax Number :
Provider Business Practice Location Address
First Line : 3499 BLAZER PKWY STE 330
Second Line :
City : LEXINGTON
State : KY
Zip : 40509-2828
Country : US
Telephone Number : 866-488-6565
Fax Number :
Authorized Official
Title or Position : OWNER
Name : LIVINGWELL LIVASSIST
Credential :
Telephone Number : 866-488-6565
Provider Enumeration Date : 03/11/2025
Last Update Date : 03/11/2025

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Directions to “LIVASSIST LLC ” Practice Location

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