Provider Demographics
NPI:1255001046
Name:LIVINGSTON CARESLLC
Entity Type:Organization
Organization Name:LIVINGSTON CARESLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:ISREAL
Authorized Official - Middle Name:
Authorized Official - Last Name:LIVINGSTON
Authorized Official - Suffix:III
Authorized Official - Credentials:CNA
Authorized Official - Phone:850-524-6114
Mailing Address - Street 1:173 SW OVERALL ST
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:FL
Mailing Address - Zip Code:32331-3312
Mailing Address - Country:US
Mailing Address - Phone:185-052-4611
Mailing Address - Fax:850-948-1710
Practice Address - Street 1:173 SW OVERALL ST
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:FL
Practice Address - Zip Code:32331-3312
Practice Address - Country:US
Practice Address - Phone:850-524-6114
Practice Address - Fax:850-948-1710
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-14
Last Update Date:2021-09-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty