Organization
LIVEWELL DIRECT SUPPORT, LLC
Active
Organization
LIVEWELL DIRECT SUPPORT, LLC
Active
Other names
Melissa Booth, Sole Member
Organization subpart
No
Provider details
NPI number
Authorized official
MELISSA BOOTH (CEO)
(740) 232-9138
Entity
Organization
Contact information
Practice address
326 PATTON AVE, WINTERSVILLE, OH 43953-3848
(740) 232-9138
Mailing address
326 PATTON AVE, WINTERSVILLE, OH 43953-3848
(740) 232-9138
Taxonomy
Speciality
Code
Description
License number
State
251C00000X
Developmentally Disabled Services Day Training Agency
Primary
—
—
251S00000X
Community/Behavioral Health Agency
—
—
251X00000X
Supports Brokerage Agency
—
—
253Z00000X
In Home Supportive Care Agency
—
—
261QA0600X
Adult Day Care Clinic/Center
—
—
343900000X
Non-emergency Medical Transport (VAN)
—
—
347C00000X
Private Vehicle
—
—
385HR2060X
Child Intellectual and/or Developmental Disabilities Respite Care
—
—
Other
Other identifiers
Code
Description
Identifier
Issuer
State
05
—
0058808
—
OH
Enumeration date
11/29/2020
Last updated
10/20/2022
Update your record
If you believe information in your NPPES record is inaccurate, or if you wish to update or deactivate your NPI, you can do so directly with CMS at https://nppes.cms.hhs.gov.
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up