LIVE IGNITE THRIVE LIMITED (NPI# 1184221004) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
Nation Provider ID (NPI) | 1184221004 |
Entity Type | Organization |
Organization Name | LIVE IGNITE THRIVE LIMITED |
Practice Address |
6564 Marble Ln Carpentersville IL 60110-2494 |
Practice Telephone | 8474526533 |
Mailing Telephone | 8474526533 |
Enumeration Date | 2020-10-04 |
Last Update Date | 2020-10-04 |
Authorized Official Name | ADAM WELDZIUS (MEDICAL DIRECTOR) |
Authorized Official Telephone | 8474526533 |
Is Organization Subpart | N |
Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
---|---|---|---|---|---|
Y | 261QM1300X |
Clinic/Center Specialization: Multi-Specialty |
Ambulatory Health Care Facilities |
Street Address |
6564 MARBLE LN |
City | CARPENTERSVILLE |
State | IL |
Zip Code | 60110-2494 |
NPI | Name | Taxonomy | Address | Enumeration |
---|---|---|---|---|
1104466168 | Jene Fer Tabaco | Physical Therapist | 104 Woodland Court 3b, Carpentersville, IL 60110 | 2020-01-08 |
1275013435 | Vanessa Retondo | Physical Therapist | 62 S Kennedy Dr, Carpentersville, IL 60110 | 2018-08-17 |
1780039115 | Wal-mart Stores, Inc. | Technician/Technologist | 365 Lake Marian Road, Carpentersville, IL 60110 | 2016-05-04 |
1265831374 | Kelley Jean Spiro | Developmental Therapist | 5730 Breezeland Rd, Carpentersville, IL 60110 | 2014-08-14 |
1750632667 | Dundee Dental Smile PC | Clinic/Center | 27 South Western Ave, Unit # E, Carpenterville, IL 60110 | 2012-10-02 |
1487911970 | Hoolsema Therapy, Inc | Early Intervention Provider Agency | 6612 Majestic Way, Carpentersville, IL 60110 | 2012-04-20 |
1275847311 | Phillip Nelson Gonzalez | Physical Therapist | 62 S. Kennedy Dr., Carpentersville, IL 60110 | 2010-07-30 |
1194943134 | William H Morrow | Pharmacist | 406 Elm Ridge Court, Carpentersville, IL 60110 | 2007-04-23 |
1497770325 | Empower Home Health Services, Inc | Home Health | 856 Commerce Pkwy, Carpentersville, IL 60110 | 2006-07-13 |
1740233154 | Quality Renal Care LLC | Clinic/Center | 2203 Randall Road, Carpentersville, IL 60110 | 2006-05-18 |
Find all providers in zip 60110 |
Taxonomy Code | 261QM1300X |
Grouping | Ambulatory Health Care Facilities |
Classification | Clinic/Center |
Specialization | Multi-Specialty |
Definition to come... |
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1861024176 | Mount Sinai Community Foundation | Clinic/Center | 1414 S Fairfield, Chicago, IL 60608 | 2020-02-05 |
1104460922 | Infinite Care Home Physicians LLC | Clinic/Center | 6044 N Nassau Ave, Chicago, IL 60631-2649 | 2019-11-05 |
1962051607 | Wilkes Post Acute Care Inc | Clinic/Center | 400 W 76th St Ste 303, Chicago, IL 60620-1640 | 2019-09-05 |
1114573672 | Immediate Home Care Physicians Services Inc | Clinic/Center | 10516 S Roberts Rd Ste A2, Palos Hills, IL 60465-1934 | 2019-08-12 |
Find all providers with the same taxonomy |
City | CARPENTERSVILLE |
Zip Code | 60110 |
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Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.