Provider Demographics
NPI:1174302111
Name:LW CARE LLC
Entity type:Organization
Organization Name:LW CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ENTITY
Authorized Official - Prefix:
Authorized Official - First Name:LIVE
Authorized Official - Middle Name:
Authorized Official - Last Name:WELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:915-247-6129
Mailing Address - Street 1:2550 W UNION HILLS DR STE 350
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85027-5187
Mailing Address - Country:US
Mailing Address - Phone:
Mailing Address - Fax:
Practice Address - Street 1:699 WALNUT ST
Practice Address - Street 2:4TH FLOOR
Practice Address - City:DES MOINES
Practice Address - State:IA
Practice Address - Zip Code:50309-3949
Practice Address - Country:US
Practice Address - Phone:915-247-6129
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-28
Last Update Date:2023-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care