Provider Demographics
NPI:1710687835
Name:LIV SAFE HOME CARE LLC
Entity Type:Organization
Organization Name:LIV SAFE HOME CARE LLC
Other - Org Name:LIVSAFE HOME CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:AHMED
Authorized Official - Middle Name:
Authorized Official - Last Name:YOUSUF
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:224-257-9894
Mailing Address - Street 1:208 E HIGHLAND AVE
Mailing Address - Street 2:
Mailing Address - City:MOUNT PROSPECT
Mailing Address - State:IL
Mailing Address - Zip Code:60056-2122
Mailing Address - Country:US
Mailing Address - Phone:224-257-9894
Mailing Address - Fax:
Practice Address - Street 1:3365 N ARLINGTON HEIGHTS RD STE D1
Practice Address - Street 2:
Practice Address - City:ARLINGTON HEIGHTS
Practice Address - State:IL
Practice Address - Zip Code:60004-7700
Practice Address - Country:US
Practice Address - Phone:224-257-9894
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-07
Last Update Date:2024-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care