Provider Demographics
NPI:1891201422
Name:LIVINLIFE HOLDINGS LLC
Entity Type:Organization
Organization Name:LIVINLIFE HOLDINGS LLC
Other - Org Name:FAMILY SMILECARE CENTER PLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:ARNOLD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:319-362-8657
Mailing Address - Street 1:1630 32ND ST NE
Mailing Address - Street 2:
Mailing Address - City:CEDAR RAPIDS
Mailing Address - State:IA
Mailing Address - Zip Code:52402-4048
Mailing Address - Country:US
Mailing Address - Phone:319-362-8657
Mailing Address - Fax:319-362-1824
Practice Address - Street 1:1630 32ND ST NE
Practice Address - Street 2:
Practice Address - City:CEDAR RAPIDS
Practice Address - State:IA
Practice Address - Zip Code:52402-4048
Practice Address - Country:US
Practice Address - Phone:319-362-8657
Practice Address - Fax:319-362-1824
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-12-19
Last Update Date:2022-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QD0000XAmbulatory Health Care FacilitiesClinic/CenterDental
Provider Identifiers
StateIdentifier IDID TypeIssuer
IA1528545522OtherNPI
1326161381OtherNPI
1649211442OtherNPI
1841231644OtherNPI ORGANIZATIONAL