Provider Demographics
NPI:1457727505
Name:LIVE WELL HOME CARE LLC
Entity type:Organization
Organization Name:LIVE WELL HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MELISSA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:GUTHMILLER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:402-494-9171
Mailing Address - Street 1:PO BOX 520
Mailing Address - Street 2:
Mailing Address - City:SOUTH SIOUX CITY
Mailing Address - State:NE
Mailing Address - Zip Code:68776-0520
Mailing Address - Country:US
Mailing Address - Phone:402-494-9171
Mailing Address - Fax:402-870-5538
Practice Address - Street 1:1600 COMMERCE WAY
Practice Address - Street 2:
Practice Address - City:SOUTH SIOUX CITY
Practice Address - State:NE
Practice Address - Zip Code:68776-3008
Practice Address - Country:US
Practice Address - Phone:712-899-6847
Practice Address - Fax:402-870-5538
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-08-12
Last Update Date:2025-04-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)