MEDICARE: WORLD LIVE, LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1649926890
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	WORLD LIVE, LLC

Provider Business Mailing Address
First Line	:	4001 FANNIN ST APT 4705
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-4088
Country	:	US
Telephone Number	:	713-569-9334
Fax Number	:

Provider Business Practice Location Address
First Line	:	4001 FANNIN ST APT 4705
Second Line	:
City	:	HOUSTON
State	:	TX
Zip	:	77004-4088
Country	:	US
Telephone Number	:	713-569-9334
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	MR. LEVI LAMONT BEARD
Credential	:
Telephone Number	:	713-569-9334

Provider Enumeration Date	:	02/25/2022
Last Update Date	:	02/25/2022

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Directions to “WORLD LIVE, LLC ” Practice Location

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