Healthcare Provider Details

I. General information

NPI: 1427926898
Provider Name (Legal Business Name): LIVE LIVE HOME CARE & WELLNESS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/28/2025
Last Update Date: 12/17/2025
Certification Date: 12/17/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

13620 NE 20TH STREET SUITE G
BELLEVUE WA
98005
US

IV. Provider business mailing address

13620 NE 20TH ST STE G
BELLEVUE WA
98005-4901
US

V. Phone/Fax

Practice location:
  • Phone: 425-283-6861
  • Fax:
Mailing address:
  • Phone: 425-283-6861
  • 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: MISS MANDANA ALIZADEH ASTARI
Title or Position: PRESIDENT
Credential:
Phone: 425-283-6861