Provider Demographics
NPI:1851936397
Name:LIVE YOUR BEST LIFE HOME HEALTHCARE, LLC
Entity Type:Organization
Organization Name:LIVE YOUR BEST LIFE HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SHERI
Authorized Official - Middle Name:S
Authorized Official - Last Name:MCKINZIE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-534-2103
Mailing Address - Street 1:1705 HIGHWAY 138 SE UNIT 82507
Mailing Address - Street 2:
Mailing Address - City:CONYERS
Mailing Address - State:GA
Mailing Address - Zip Code:30013
Mailing Address - Country:US
Mailing Address - Phone:267-534-2103
Mailing Address - Fax:
Practice Address - Street 1:100 N 18TH STREET SUITE 300
Practice Address - Street 2:
Practice Address - City:PHILADELPHIA
Practice Address - State:PA
Practice Address - Zip Code:19103-3511
Practice Address - Country:US
Practice Address - Phone:267-534-2103
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-07
Last Update Date:2023-06-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health