Melissa Booth, Sole Member

LBN: Livewell Direct Support, Llc
Melissa Booth, Sole Member is an health care organization with primary practice located at 326 Patton Ave , Wintersville OH 43953-3848. The organization recently has 8 registered licenses in different health care specialties including Agencies / Day Training, Developmentally Disabled Services, Agencies / Community/Behavioral Health, Agencies / Supports Brokerage, Agencies / In Home Supportive Care, Ambulatory Health Care Facilities / Adult Day Care, Transportation Services / Non-emergency Medical Transport (VAN), Transportation Services / Private Vehicle, Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities. Agencies / Day Training, Developmentally Disabled Services is the primary health care specialty. Livewell Direct Support, Llc can be contacted via phone (740) 232-9138, or through Booth, Melissa via phone (740) 232-9138.

Contact Information

Primary practice address
326 Patton Ave Wintersville OH 43953-3848
Phone: (740) 232-9138
Fax:
Website:
Map and Directions
Authorized official contact:
Name: Booth, Melissa
Phone: (740) 232-9138

Health care specialties

SpecialtyCodeLicense #State
Agencies / Day Training, Developmentally Disabled Services 251C00000X
Agencies / Community/Behavioral Health 251S00000X
Agencies / Supports Brokerage 251X00000X
Agencies / In Home Supportive Care 253Z00000X
Ambulatory Health Care Facilities / Adult Day Care 261QA0600X
Transportation Services / Non-emergency Medical Transport (VAN) 343900000X
Transportation Services / Private Vehicle 347C00000X
Respite Care Facility / Respite Care, Mental Retardation and/or Developmental Disabilities 385HR2060X

Profile Details

NPI number 1972107043
LBN Legal business name Livewell Direct Support, Llc
DBA Doing business as Melissa Booth, Sole Member
Authorized official Booth, Melissa
Entity Organization
Organization subpart 1 No
Enumeration date Nov 29th, 2020
Last updated Oct 20th, 2022 - about 2 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1972107043 NPPES
Ohio MEDICAID 0058808

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