Provider Demographics
NPI:1356774475
Name:LIVABILITY HOME HEALTH
Entity type:Organization
Organization Name:LIVABILITY HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:MS
Authorized Official - First Name:SAN
Authorized Official - Middle Name:NHAT
Authorized Official - Last Name:PHAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:603-438-9937
Mailing Address - Street 1:12 HAYDEN ST
Mailing Address - Street 2:
Mailing Address - City:NASHUA
Mailing Address - State:NH
Mailing Address - Zip Code:03060-5816
Mailing Address - Country:US
Mailing Address - Phone:603-438-9937
Mailing Address - Fax:888-663-1258
Practice Address - Street 1:12 HAYDEN ST
Practice Address - Street 2:
Practice Address - City:NASHUA
Practice Address - State:NH
Practice Address - Zip Code:03060-5816
Practice Address - Country:US
Practice Address - Phone:603-438-9937
Practice Address - Fax:888-663-1258
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-08-13
Last Update Date:2013-08-13
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NH03956253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care