NPI Code Details Logo

NPI 1689041246

NPI 1689041246 : LIV MANAGEMENT : WILLOUGHBY, OH

=====================================================
General NPI Number Information
=====================================================
    NPI Number           |    1689041246
-----------------------------------------------------
    Entity Type          |    Organization 
-----------------------------------------------------
    Legal Business Name  |    LIV MANAGEMENT 
-----------------------------------------------------

=====================================================
Dates
=====================================================
    Enumeration Date     |    08/29/2015
-----------------------------------------------------
    Last Update Date     |    08/29/2015
-----------------------------------------------------

=====================================================
Provider Practice Location Address
=====================================================
    Address Line         |    4 PUBLIC SQ 
-----------------------------------------------------
    City                 |    WILLOUGHBY
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44094-7843
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    440-793-8566
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Provider Business Mailing Address
=====================================================
    Address Line         |    4 PUBLIC SQ 
-----------------------------------------------------
    City                 |    WILLOUGHBY
-----------------------------------------------------
    State                |    OH
-----------------------------------------------------
    Zip                  |    44094-7843
-----------------------------------------------------
    Country              |    US
-----------------------------------------------------
    Telephone            |    
-----------------------------------------------------
    Fax                  |    
-----------------------------------------------------

=====================================================
Authorized Official
=====================================================
    Title or Position    |    EXECUTIVE DIRECTIR
-----------------------------------------------------
    Name                 |     MEGAN  SMITH 
-----------------------------------------------------
    Credential           |    
-----------------------------------------------------
    Telephone            |    440-793-8566
-----------------------------------------------------

=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
    Taxonomy Code        |    251B00000X
-----------------------------------------------------
    Taxonomy Name        |    Case Management Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
    Taxonomy Code        |    251J00000X
-----------------------------------------------------
    Taxonomy Name        |    Nursing Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #3
-----------------------------------------------------
    Taxonomy Code        |    253Z00000X
-----------------------------------------------------
    Taxonomy Name        |    In Home Supportive Care Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------
Taxonomy #4
-----------------------------------------------------
    Taxonomy Code        |    251E00000X
-----------------------------------------------------
    Taxonomy Name        |    Home Health Agency
-----------------------------------------------------
    License Number       |    
-----------------------------------------------------
    License Number State |    
-----------------------------------------------------



                        

Copyright © 2007-2026 Data Labs Health. All rights reserved.