LIVING WELL HEALTHCARE, LLC
NPI 1255609046
Clinic/Center - Rural Health in Tompkinsville, KY
About Living Well Healthcare, Llc NPPES
Official registry information on file with the National Plan and Provider Enumeration System.
LIVING WELL HEALTHCARE, LLC (NPI 1255609046) is a healthcare organization registered as a rural health in Tompkinsville, Kentucky and active in the NPI registry since December 2011. The organization holds a CLIA Waiver certificate valid through December 6, 2027 and lists Deanna Nichols, Owner, as its authorized official.
NPPES Registry Identity
Specialties & Licenses
Accepted Insurance
Medicare Participation & PECOS CMS
Medicare enrollment, revalidation and the clinicians who bill Medicare through this organization, from CMS.
Medicare Enrollment Status
Enrolled in Medicare (PECOS)
Living Well Healthcare, Llc is registered in the CMS Provider Enrollment, Chain and Ownership System (PECOS).
Medicare Revalidation Due Date
Revalidation due by March 31, 2027
Medicare-enrolled providers and suppliers confirm their enrollment information with CMS on a set cycle, every 5 years for most and every 3 years for medical equipment suppliers. CMS sets the due date for each enrollment.
Clinicians Billing Medicare Through This Organization
8Medicare enrollment records show 8 clinicians reassign Medicare billing to Living Well Healthcare, LLC, which bills Medicare for the services they deliver. Of these, 4 practice within 10 miles. They are listed nearest first.
Clinicians, nearest first (8)
Source: CMS Revalidation Reassignment List, October 2026 release. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
CLIA Laboratory Certificates CMS CLIA
Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.
Certificate of Waiver 18D2033640
Living Well Healthcare · Tompkinsville, KYFrequently Asked Questions NPPES & CMS
Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.
What is Living Well Healthcare, LLC's NPI number?
The NPI number for Living Well Healthcare, LLC is 1255609046. It was assigned to this organization in the NPPES registry on December 7, 2011.
Where is Living Well Healthcare, LLC located?
Living Well Healthcare, LLC is located at 801 N Main St, Tompkinsville, KY 42167. The listed phone number is (270) 407-5052.
What is Living Well Healthcare, LLC's specialty?
The primary specialty registered for this NPI is Clinic/Center, specializing in Rural Health, with taxonomy code 261QR1300X.
Is Living Well Healthcare, LLC enrolled in Medicare?
Yes. Living Well Healthcare, LLC is registered in the Medicare PECOS enrollment system.
When is Living Well Healthcare, LLC's Medicare revalidation due?
According to the CMS Revalidation Due Date List (October 2026 release), the Medicare Part A enrollment for this organization (Kentucky, Rural Health Clinic) is due for revalidation by March 31, 2027. Medicare providers and suppliers revalidate their enrollment every 5 years, and medical equipment suppliers every 3 years. Confirm current requirements with your Medicare Administrative Contractor.
How many clinicians bill Medicare through Living Well Healthcare, LLC?
According to the CMS Revalidation Reassignment List (October 2026 release), 8 clinicians in 5 Medicare specialties reassign their Medicare billing to Living Well Healthcare, LLC. A reassignment is filed with Medicare on form CMS-855R, signed by both the clinician and the organization, and lets the organization bill Medicare and receive payment for the clinician's services. The largest specialties are Nurse Practitioner (4), Anesthesiology (1) and Clinical Social Worker (1). Of these, 4 practice within 10 miles. Reassignment records can lag staffing changes; confirm a current affiliation with the organization.
Does Living Well Healthcare, LLC hold a CLIA laboratory certificate?
Yes. A Certificate of Waiver (number 18D2033640) is associated with this NPI, valid through December 6, 2027. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.
What insurance does Living Well Healthcare, LLC accept?
Health plans from Ambetter Health, Ambetter from Buckeye Health Plan, Ambetter of Tennessee and Anthem Blue Cross and Blue Shield list Living Well Healthcare, LLC as in-network in at least one marketplace plan. Coverage varies by plan and year; verify with the insurer or the provider before a visit.
When was this NPI record last updated?
The NPPES record for Living Well Healthcare, LLC was last updated on May 15, 2024. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 2 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.
# Living Well Healthcare, Llc · NPI 1255609046
Rural Health organization in Tompkinsville, Kentucky. Organization record, active in the CMS NPPES registry since December 7, 2011.
## Identity
- **NPI:** 1255609046 (Entity type: Organization)
- **Enumerated:** December 7, 2011
- **Primary specialty:** Clinic/Center - Rural Health · taxonomy 261QR1300X
- **Organization subpart:** No
- **Authorized official:** Deanna Nichols, OWNER
## Practice location
- **Address:** 801 N MAIN ST, Tompkinsville, KY 42167-1002
- **Phone:** (270) 407-5052
## Medicare
- **Medicare:** Enrolled in Medicare (PECOS)
- **Medicare revalidation due:** March 31, 2027 (Part A, Kentucky, Rural Health Clinic) · CMS Revalidation Due Date List, October 2026 release
- **Clinicians billing through this organization:** 8 clinicians in 5 Medicare specialties reassign Medicare billing to this organization (form CMS-855R); largest: Nurse Practitioner (4), Anesthesiology (1), Clinical Social Worker (1); 4 practice within 10 miles · CMS Revalidation Reassignment List, October 2026 release
## Record status
- **NPPES last updated:** May 15, 2024
- **CLIA laboratory certificates:** 1 on file
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Source: [NPI Profile](https://npiprofile.com/npi/1255609046) · Data from the CMS NPPES public registry.