Provider Demographics
NPI:1033140074
Name:LIVINRITE, INC
Entity Type:Organization
Organization Name:LIVINRITE, INC
Other - Org Name:LIVINRITE HOME HEALTH SERVICES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:MR
Authorized Official - First Name:BRENDAN
Authorized Official - Middle Name:PATRICK
Authorized Official - Last Name:MCCORMICK
Authorized Official - Suffix:SR
Authorized Official - Credentials:
Authorized Official - Phone:703-369-6677
Mailing Address - Street 1:10550 LINDEN LAKE PLZ STE 100
Mailing Address - Street 2:
Mailing Address - City:MANASSAS
Mailing Address - State:VA
Mailing Address - Zip Code:20109-6495
Mailing Address - Country:US
Mailing Address - Phone:703-369-6677
Mailing Address - Fax:703-369-3355
Practice Address - Street 1:10550 LINDEN LAKE PLZ STE 100
Practice Address - Street 2:
Practice Address - City:MANASSAS
Practice Address - State:VA
Practice Address - Zip Code:20109
Practice Address - Country:US
Practice Address - Phone:703-369-6677
Practice Address - Fax:703-369-3355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2006-07-06
Last Update Date:2018-06-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
VA497593Medicare ID - Type UnspecifiedMEDICARE CERTIFIED AGENCY