Provider Demographics
NPI:1275420408
Name:LIVINGWELL HOMECARE AGENCY INC.
Entity type:Organization
Organization Name:LIVINGWELL HOMECARE AGENCY INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:SHAOMEI
Authorized Official - Middle Name:
Authorized Official - Last Name:XU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:929-362-2474
Mailing Address - Street 1:13781 NORTHERN BLVD
Mailing Address - Street 2:
Mailing Address - City:FLUSHING
Mailing Address - State:NY
Mailing Address - Zip Code:11354-4320
Mailing Address - Country:US
Mailing Address - Phone:929-362-2474
Mailing Address - Fax:929-362-2451
Practice Address - Street 1:13781 NORTHERN BLVD
Practice Address - Street 2:
Practice Address - City:FLUSHING
Practice Address - State:NY
Practice Address - Zip Code:11354-4320
Practice Address - Country:US
Practice Address - Phone:929-362-2474
Practice Address - Fax:929-362-2451
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-06-20
Last Update Date:2025-06-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health