# LIVING WELL HOME SERVICES LLC

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- **Entity:** Organization
- **Status:** Active
- **Organization subpart:** No

## Provider details

- **NPI number:** 1477396117
- **Authorized official:** DR. OCTAVIA ALTHEIMER DHA (CHIEF CARE OFFICER)
- **Authorized official phone:** (815) 651-1766

## Contact information

- **Practice address:** 7777 W LINCOLN HWY STE A1, FRANKFORT, IL 60423-9490
- **Practice address phone:** (815) 651-1766
- **Mailing address:** 7777 W LINCOLN HWY STE A1, FRANKFORT, IL 60423-9490
- **Mailing address phone:** (815) 651-1766

## Taxonomy

| Code | Description | License number | State | Primary |
| --- | --- | --- | --- | --- |
| 251E00000X | Home Health Agency | — | NULL | Yes |
| 253Z00000X | In Home Supportive Care Agency | — | NULL | — |
| 343900000X | Non-emergency Medical Transport (VAN) | — | NULL | — |
| 385H00000X | Respite Care | — | NULL | — |
| 385HR2055X | Child Mental Illness Respite Care | — | NULL | — |
| 385HR2060X | Child Intellectual and/or Developmental Disabilities Respite Care | — | NULL | — |
| 385HR2065X | Child Physical Disabilities Respite Care | — | NULL | — |

## Other

- **Enumeration date:** 06/18/2024
- **Last updated:** 06/18/2024