Provider Demographics
NPI:1689922163
Name:LIVING WELL HOME CARE
Entity Type:Organization
Organization Name:LIVING WELL HOME CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NANCY
Authorized Official - Middle Name:
Authorized Official - Last Name:ZARRIELLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:732-222-1600
Mailing Address - Street 1:61 SEAVIEW AVE
Mailing Address - Street 2:
Mailing Address - City:MONMOUTH BEACH
Mailing Address - State:NJ
Mailing Address - Zip Code:07750-1219
Mailing Address - Country:US
Mailing Address - Phone:732-222-1600
Mailing Address - Fax:732-222-1611
Practice Address - Street 1:27 BEACH RD
Practice Address - Street 2:
Practice Address - City:MONMOUTH BEACH
Practice Address - State:NJ
Practice Address - Zip Code:07750-1374
Practice Address - Country:US
Practice Address - Phone:732-222-1600
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-08-15
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0163400253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care