Recently Updated NPI Information — some details in this NPI profile have been updated in the NPI registry within the last 60 days.

LIVWELL COMMUNITY HEALTH SERVICES, INC.
NPI 1396749917
Clinic/Center - Multi-Specialty in Paducah, KY

Q: What is Livwell Community Health Services, Inc.'s specialty?

The primary specialty registered for this NPI is Clinic/Center, specializing in Multi-Specialty, with taxonomy code 261QM1300X.

Active since June 10, 2005CLIA 18D1003470 · Waiver

1903 BROADWAY ST, PADUCAH, KY 42001(270) 444-8183(247) 044-8147 Get Directions Write a Review

NPPES record last updated: August 3, 2026. Verified against the NPPES registry weekly; last sync: August 16, 2026.

Record update history: Aug 3, 2026, Mar 2, 2026, Jul 27, 2024 and 5 more (8 updates tracked since 2018).

On this page

About Livwell Community Health Services, Inc. NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVWELL COMMUNITY HEALTH SERVICES, INC. (NPI 1396749917) is a healthcare organization registered as a multi-specialty in Paducah, Kentucky and active in the NPI registry since June 2005. The organization holds a CLIA Waiver certificate valid through August 29, 2026 and lists Andrea Leonard, Interim Executive Director, as its authorized official.

NPPES Registry Identity

NPI1396749917

Entity TypeOrganization

Primary Taxonomy261QM1300X

Legal Business NameLIVWELL COMMUNITY HEALTH SERVICES, INC.

Location Address1903 BROADWAY STPaducah, KY 42001-7105

Mailing Address1903 Broadway StPaducah, KY 42001-7105 · (270) 444-8183 · Fax (270) 933-1969

Phone(270) 444-8183

Fax(247) 044-8147

Organization SubpartNo

Authorized OfficialAndrea LeonardInterim Executive Director · (270) 444-8183

Enumeration DateJune 10, 2005

Last NPPES UpdateAugust 3, 20268 updates tracked since enumeration

NPPES CertifiedAugust 3, 2026

✔ NPI 1396749917 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses 4

★ Primary SpecialtyClinic/Center · Multi-SpecialtyAmbulatory Health Care Facilities

Taxonomy Code261QM1300X

Also ListedCounselor · ProfessionalTaxonomy 101YP2500X

Also ListedInternal Medicine · Infectious DiseaseTaxonomy 207RI0200X

Also ListedPhysician AssistantTaxonomy 363A00000X

1903 BROADWAY ST, Paducah, KY 42001

Open in Google Maps ↗

Other Identifiers 2

Medicaid65930786KY

Medicaid7100710340KY

Group Practice 1

Group TaxonomyThis provider is a business group of one or more individual practitioners, who practice with different areas of specialization.193200000X MULTI-SPECIALTY GROUP

Accepted Insurance

The full list of accepted plans is on the Insurance tab. Issuers include Ambetter from Buckeye Health Plan, Ambetter from Home State Health, Ambetter Health and more.Insurance ›

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 18D1003470

Livwell Community Health Services · Paducah, KY

Active · expires Aug 29, 2026

CLIA Number18D1003470

Laboratory TypePhysician Office

Certificate Effective DateAugust 30, 2024

Certificate Expiration DateAugust 29, 2026

Laboratory DirectorMs. Heidi J. Pregent

Laboratory Phone(270) 444-8183

Laboratory LocationLivwell Community Health Services1903 Broadway Street, Paducah, KY 42001

CLIA data matches this NPI record on: Address Name Phone

This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES 6

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

TED BORODOFSKY M.D.

Ophthalmology