Healthcare Provider Details

I. General information

NPI: 1205745437
Provider Name (Legal Business Name): LIVEWELL HOME CARE OF STAMFORD, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/03/2026
Last Update Date: 09/03/2026
Certification Date: 08/19/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

700 CANAL ST STE 1
STAMFORD CT
06902-5921
US

IV. Provider business mailing address

76 MINNA ST APT 1
BROOKLYN NY
11218-2116
US

V. Phone/Fax

Practice location:
  • Phone: 310-739-3560
  • Fax:
Mailing address:
  • Phone: 310-739-3560
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: AARON DAY
Title or Position: MANAGER
Credential:
Phone: 310-739-3560