| Organization Name: | LIVEWELL CARE LLC |
| NPI Number: | 1124493275 |
| Entity Type Code: | Organizational (2) |
| Authorized Official Name: | JONATHAN DAVID WELLS (OWNER) |
| Mailing Address: | 3980 Limelight Ave Unit H Castle Rock |
| State: | CO US |
| Postal Code: | 801098011 |
| Phone Number: | 7202871685 |
| Fax Number: | 7204580589 |
| NPI Enumeration Date: | 12/01/2015 |
| NPI Last Update Date: | 12/01/2015 |
| Replacement NPI: | 0 |
| NPI Deactivation Date: | |
| NPI Reactivation Date: |
Taxonomy Information: | |
| Healthcare Provider Taxonomy: | 253Z00000X |
| License Number: | 04N650 |
| Healthcare Provider Taxonomy: (Secondary) | Y |
| State: | CO |
| Taxonomy Type: | Agencies |
| Taxonomy Classification: | In Home Supportive Care |
| Taxonomy Specialization: | |
| Taxonomy Definition: | An In Home Supportive Care Agency provides services in the patient |