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LIVING WELL FAMILY CARE HOME
NPI 1508125642
Custodial Care Facility - Adult Care Home in Raleigh, NC

Active since May 10, 2012
5932 SANDY FORKS RD, RALEIGH, NC 27609(919) 255-2404 Get Directions Write a Review

NPPES record last updated: May 10, 2012. Verified against the NPPES registry weekly; last sync: August 02, 2026.

About Living Well Family Care Home NPPES

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

LIVING WELL FAMILY CARE HOME (NPI 1508125642) is a healthcare organization registered as an adult care home in Raleigh, North Carolina and active in the NPI registry since May 2012. The organization lists Jacqueline Thompson, Owner/administrator, as its authorized official.

NPPES Registry Identity

NPI1508125642
Entity TypeOrganization
Primary Taxonomy311ZA0620X
Legal Business NameLIVING WELL ENTERPRISES, LLC
Location Address5932 SANDY FORKS RDRaleigh, NC 27609-3814
Mailing Address5616 Old Forge CirRaleigh, NC 27609-4032 · (919) 255-2404
Phone(919) 255-2404
Organization SubpartNo
Authorized OfficialJacqueline ThompsonOwner/administrator · (919) 255-2404
Enumeration DateMay 10, 2012
✔ NPI 1508125642 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyCustodial Care Facility · Adult Care HomeNursing & Custodial Care Facilities
Taxonomy Code311ZA0620X
License✔ Licensed in NC · FCL-092-175
Definition
A custodial care facility providing supportive and personal care services to disabled and/or elderly individuals who cannot function independently in most areas of activity and need assistance and monitoring to enable them to remain in a home like environment.
5932 SANDY FORKS RD, Raleigh, NC 27609
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Other Names 1

Doing Business AsLiving Well Family Care Home

Other Providers at the Same Location NPPES 5

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

MONIQUE GOSS
Behavior Technician
5932 SANDY FORKS RD
RALEIGH, NC 27609
Wake County (984) 275-3054
SARAH JANE QIANYUN STOUT
Behavior Technician
5932 SANDY FORKS RD
RALEIGH, NC 27609
Wake County (984) 275-3054
KYLA LAKEY
Behavior Technician
5932 SANDY FORKS RD
RALEIGH, NC 27609
Wake County (984) 275-3054
PROMISE ATKINSON
Behavior Technician
5932 SANDY FORKS RD
RALEIGH, NC 27609
Wake County (984) 275-3054
SHANNON ROSE CALLAHAN B.S.W
Behavior Technician
5932 SANDY FORKS RD
RALEIGH, NC 27609
Wake County (984) 275-3054

Frequently 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 Enterprises, LLC's NPI number?

The NPI number for Living Well Enterprises, LLC is 1508125642. It was assigned to this organization in the NPPES registry on May 10, 2012. The provider is doing business as Living Well Family Care Home.

Where is Living Well Enterprises, LLC located?

Living Well Enterprises, LLC is located at 5932 Sandy Forks Rd, Raleigh, NC 27609. The listed phone number is (919) 255-2404.

What is Living Well Enterprises, LLC's specialty?

The primary specialty registered for this NPI is Custodial Care Facility, specializing in Adult Care Home, with taxonomy code 311ZA0620X.

When was this NPI record last updated?

The NPPES record for Living Well Enterprises, LLC was last updated on May 10, 2012. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 14 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.