Healthcare Provider Details

I. General information

NPI: 1033083019
Provider Name (Legal Business Name): LIVING HEALTHY CARE NURSE PRACTITIONER IN FAMILY HEALTH PLLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/02/2025
Last Update Date: 10/23/2025
Certification Date: 10/23/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

516 ADVENT ST
WESTBURY NY
11590-1302
US

IV. Provider business mailing address

516 ADVENT ST
WESTBURY NY
11590-1302
US

V. Phone/Fax

Practice location:
  • Phone: 347-612-0060
  • Fax:
Mailing address:
  • Phone: 347-612-0060
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code363LF0000X
TaxonomyFamily Nurse Practitioner
License Number
License Number State

VIII. Authorized Official

Name: LISA-MARIE HORNE
Title or Position: OWNER
Credential: NP
Phone: 347-612-0060