Healthcare Provider Details

I. General information

NPI: 1043177264
Provider Name (Legal Business Name): LW CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/08/2026
Last Update Date: 01/08/2026
Certification Date: 01/07/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

CALLE 2 15 STREET 1
GUAYNABO PR
00966
US

IV. Provider business mailing address

2550 W UNION HILLS DR STE 350
PHOENIX AZ
85027-5187
US

V. Phone/Fax

Practice location:
  • Phone: 866-448-6565
  • Fax:
Mailing address:
  • Phone:
  • 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: LIVE WELL
Title or Position: OWNER
Credential:
Phone: 866-448-6565