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Contact Information

LIVEWELL ALLIANCE, INC.
1261 S MAIN ST
PLANTSVILLE, CT06479-1720
 Phone: 860-628-9000
 Fax: 860-621-8083
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Alzheimer Center /Dementia Center/Dementia Special Care Unit

311500000X
 

Skilled Nursing Facility

314000000X A1[8] Skilled Nursing Facility
Indicates primary specialty

NPI Profile & details for LIVEWELL ALLIANCE, INC.

NPI Number 1992737662
LBN Legal business name LIVEWELL ALLIANCE, INC.
Authorized official ANYA BOUNDS - (DIR. OF REV & REIMBURSEMENT)
Entity Organization
Organization subpart 1 No
Enumeration date 07/06/2006
Last updated 03/31/2022 - About 4 years ago
Identifiers
CT License # 2093-C
CT Medicaid 000020933
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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