Provider Demographics
NPI:1639618820
Name:LIVEGOOD AT HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:LIVEGOOD AT HOME CARE SERVICES LLC
Other - Org Name:LIVEGOOD AT HOME
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICER
Authorized Official - Prefix:MS
Authorized Official - First Name:ONIIKA
Authorized Official - Middle Name:T
Authorized Official - Last Name:HOWARD
Authorized Official - Suffix:
Authorized Official - Credentials:CNA, AHA INSTRUCTOR
Authorized Official - Phone:888-853-0398
Mailing Address - Street 1:1103 DULLES AVE APT 501
Mailing Address - Street 2:
Mailing Address - City:STAFFORD
Mailing Address - State:TX
Mailing Address - Zip Code:77477-5707
Mailing Address - Country:US
Mailing Address - Phone:888-853-0398
Mailing Address - Fax:504-799-2495
Practice Address - Street 1:1103 DULLES AVE APT 501
Practice Address - Street 2:
Practice Address - City:STAFFORD
Practice Address - State:TX
Practice Address - Zip Code:77477-5707
Practice Address - Country:US
Practice Address - Phone:888-853-0398
Practice Address - Fax:504-799-2495
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2023-08-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care