Provider Demographics
NPI:1598958720
Name:LIVE EVERY DAY L.L.C
Entity Type:Organization
Organization Name:LIVE EVERY DAY L.L.C
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PARTNER
Authorized Official - Prefix:
Authorized Official - First Name:MATTHEW
Authorized Official - Middle Name:M
Authorized Official - Last Name:CALENDRILLO
Authorized Official - Suffix:
Authorized Official - Credentials:PT, BOCO
Authorized Official - Phone:413-330-2175
Mailing Address - Street 1:68 BRIDGE ST
Mailing Address - Street 2:SUFFIELD VILLAGE SUITE 111
Mailing Address - City:SUFFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06078-2173
Mailing Address - Country:US
Mailing Address - Phone:860-254-5190
Mailing Address - Fax:860-413-2081
Practice Address - Street 1:68 BRIDGE ST
Practice Address - Street 2:SUFFIELD VILLAGE SUITE 111
Practice Address - City:SUFFIELD
Practice Address - State:CT
Practice Address - Zip Code:06078-2173
Practice Address - Country:US
Practice Address - Phone:860-254-5190
Practice Address - Fax:860-413-2081
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-08-21
Last Update Date:2014-11-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
PAPT018078335E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes335E00000XSuppliersProsthetic/Orthotic Supplier
Provider Identifiers
StateIdentifier IDID TypeIssuer
6002860001Medicare NSC