Provider Demographics
NPI:1558547018
Name:LIVHOME, INC.
Entity Type:Organization
Organization Name:LIVHOME, INC.
Other - Org Name:AROSA
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:CYRIL
Authorized Official - Middle Name:
Authorized Official - Last Name:VERGIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:323-932-1310
Mailing Address - Street 1:10020 NATIONAL BLVD STE 1
Mailing Address - Street 2:
Mailing Address - City:LOS ANGELES
Mailing Address - State:CA
Mailing Address - Zip Code:90034-3809
Mailing Address - Country:US
Mailing Address - Phone:919-309-4891
Mailing Address - Fax:
Practice Address - Street 1:10020 NATIONAL BLVD STE 1
Practice Address - Street 2:
Practice Address - City:LOS ANGELES
Practice Address - State:CA
Practice Address - Zip Code:90034-3809
Practice Address - Country:US
Practice Address - Phone:323-933-5880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-01-15
Last Update Date:2021-11-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX011022OtherDPT OF AGING DISAB SVCS