LIVE WELL HEALTH LLC (NPI# 1548627847) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1548627847 |
| Entity Type | Organization |
| Organization Name | LIVE WELL HEALTH LLC |
| Practice Address |
15565 Northland Dr Suite 103w-b Southfield MI 48075 |
| Practice Telephone | 2488092094 |
| Mailing Telephone | 2488092094 |
| Enumeration Date | 2016-01-19 |
| Last Update Date | 2016-01-19 |
| Authorized Official Name | MR. SISSY TEZERA (OWNER) |
| Authorized Official Telephone | 2488092094 |
| Authorized Official Credential | DC |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 261Q00000X | Clinic/Center | Ambulatory Health Care Facilities |
| Street Address |
15565 NORTHLAND DR SUITE 103W-B |
| City | SOUTHFIELD |
| State | MI |
| Zip Code | 48075 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1265432629 | Metro Hospitalists, PC | Internal Medicine | 15565 Northland Dr, Ste 503 West, Southfield, MI 48075 | 2005-07-28 |
| 1508498890 | We Kare LLC | Physical Medicine & Rehabilitation | 15565 Northland Dr, Suite #104, Southfield, MI 48075 | 2020-02-05 |
| 1114479060 | One Pro Therapt | Clinic/Center | 15565 Northland Dr, Suite 208e, Southfield, MI 48075 | 2016-10-26 |
| 1538565973 | Jatinkumar Vaghasiya | Physical Therapist | 15565 Northland Dr, Suite 103w, Southfield, MI 48075 | 2014-11-12 |
| 1225471923 | Optimum Medical Services Pllc | Internal Medicine | 15565 Northland Dr, 606w, Southfield, MI 48075-4807 | 2013-04-11 |
| 1316237571 | All Community Home Care Service,inc | Home Health | 15565 Northland Dr, Suite 502w, Southfield, MI 48075 | 2011-04-08 |
| 1629209747 | Anointed Care Services LLC | Home Health | 15565 Northland Dr, Ste 604 W, Southfield, MI 48075-5319 | 2009-08-06 |
| 1902046436 | Internationa Home Health Care | Health Maintenance Organization | 15565 Northland Dr, Suite 402b, Southfield, MI 48075 | 2009-02-24 |
| 1871647180 | Sylvia Victoria Thompson | Counselor | 15565 Northland Dr, Suite 505 West, Southfield, MI 48075 | 2007-01-23 |
| 1548323660 | Jerome Norbert Nadolski | Counselor | 15565 Northland Dr, Suite 505w, Southfield, MI 48075 | 2006-12-19 |
| Find all providers in the same location | ||||
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851900054 | K&b Medical Wigs, LLC | Durable Medical Equipment & Medical Supplies | 16250 Northland Dr. Ste 221, Southfield, MI 48075 | 2020-07-24 |
| 1790300390 | Julian Jeberaeel | Radiology | 2250 Providence, Southfield, MI 48075 | 2020-06-10 |
| 1265056410 | Husein Yusuf Husein | Podiatrist | Ascension Providence Hospital Southfield Campus, 16001 W. Nine Mile Rd. Depaul 2nd Floor, Southfield, Mi, MI 48075 | 2020-06-03 |
| 1952945420 | Paris Straughter | Nurse Practitioner | 18438 Onyx St, Southfield, MI 48075 | 2019-10-29 |
| 1811467657 | Medicine Man Medical, Pllc | Physical Medicine & Rehabilitation | 25130 Southfield Road, Suite #210, Southfield, MI 48075 | 2018-12-04 |
| 1447725528 | Rommel Ramos Perez | Physical Therapist | 26017 Greenfield Rd., Southfield, MI 48075 | 2018-10-04 |
| 1073009627 | Jacqueline Venora Goodgame | Licensed Practical Nurse | 4000 Town Ctr, Southfield, MI 48075 | 2018-07-06 |
| 1043712532 | Hollie Marie Maltese | Physical Therapy Assistant | 22255 Greenfiled 118, Southfield, MI 48075 | 2018-03-01 |
| 1932601481 | Katie Marie Mccormack | Occupational Therapist | 16001 West Nine Mile Rd., Southfield, MI 48075 | 2018-03-01 |
| 1801304241 | Absolute Hc LLC | Physical Therapist | 23461 Greenfield Rd Ste 200b, Southfield, MI 48075 | 2018-01-19 |
| Find all providers in zip 48075 | ||||
| Taxonomy Code | 261Q00000X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| A facility or distinct part of one used for the diagnosis and treatment of outpatients. "Clinic/Center" is irregularly defined, sometimes being limited to organizations serving specialized treatment requirements or distinct patient/client groups (e.g., radiology, poor, and public health). |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1720236276 | Theramatrix, Inc | Clinic/Center | 24611 Greenfield Road, Southfield, MI 48075-3058 | 2008-09-08 |
| 1295744472 | Sacred Hope Center, Inc | Clinic/Center | 17333 W 10 Mile Rd, Southfield, MI 48075-2901 | 2006-08-05 |
| 1972904209 | Irvine Neuro Rehabilitation | Clinic/Center | 25700 Lahser Rd, Southfield, MI 48033 | 2014-09-05 |
| 1063857100 | Orthopedic Medical Recreation | Clinic/Center | 15600 W 12 Mile Rd, Southfield, MI 48076-3068 | 2013-05-02 |
| 1376814699 | Visiting Physicians, PC | Clinic/Center | 17260 W 10 Mile Rd, Southfield, MI 48075-2949 | 2012-01-18 |
| 1013240662 | American Current Care of Michigan, P.C. | Clinic/Center | 26185 Greenfield Rd, Southfield, MI 48076-4709 | 2009-09-15 |
| 1093943615 | Providence Hospital | Clinic/Center | 22250 Providence Dr, Suite 500, Southfield, MI 48075-4825 | 2009-06-23 |
| 1427284447 | Obo Incorporated | Clinic/Center | 29350 Southfield Rd, 101, Southfield, MI 48076-2053 | 2009-06-04 |
| 1306072327 | Lopez & Associates Inc | Clinic/Center | 29350 Southfield Rd, 101, Southfield, MI 48076-2053 | 2009-06-04 |
| 1962651737 | Pjr & Associated Inc | Clinic/Center | 15700 W 10 Mile Rd, 213, Southfield, MI 48075-2149 | 2008-09-16 |
| Find all providers in SOUTHFIELD | ||||
| City | SOUTHFIELD |
| Zip Code | 48075 |
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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.