=====================================================
General NPI Number Information
=====================================================
NPI Number | 1235516576
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LIVING BETTER SOLUTIONS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 05/06/2015
-----------------------------------------------------
Last Update Date | 05/06/2015
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 30448 RANCHO VIEJO RD SUITE 160
-----------------------------------------------------
City | SAN JUAN CAPISTRANO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92675
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-600-1888
-----------------------------------------------------
Fax | 949-272-0407
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 30448 RANCHO VIEJO RD SUITE 160
-----------------------------------------------------
City | SAN JUAN CAPISTRANO
-----------------------------------------------------
State | CA
-----------------------------------------------------
Zip | 92675
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 949-600-1888
-----------------------------------------------------
Fax | 949-272-0407
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | PRESIDENT
-----------------------------------------------------
Name | MATTHEW WILLIAM BAILEY
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 949-600-1888
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 253Z00000X
-----------------------------------------------------
Taxonomy Name | In Home Supportive Care Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------