Organization · Type 2 NPI
Lively Virtual Care Organization PC
Point of Service · Roseville, CA
NPI number
1447938683
Active
Practice location
108 Ben Ezra Ave
Roseville, CA 95678-2702
Fax (916) 846-9463
Mailing address
PO Box 604
Roseville, CA 95661-0604
Other practice locations
- 108 Ben Ezra Ave, Roseville, CA 95678-2702 · (916) 622-3609
Specialties and licenses
| Taxonomy | Code | License |
|---|---|---|
| Family Medicine Physician | 207Q00000X | None listed |
| Home Health Agency | 251E00000X | None listed |
| Early Intervention Provider Agency | 252Y00000X | None listed |
| In Home Supportive Care Agency | 253Z00000X | None listed |
| Clinic/Center | 261Q00000X | None listed |
| Point of Service Primary | 305S00000X | None listed |
| Durable Medical Equipment & Medical Supplies | 332B00000X | None listed |
Point of Service: This product may also be called an open-ended HMO and offers a transition product incorporating features of both HMOs and PPOs. Beneficiaries are enrolled in an HMO but have the option to go outside the networks for an additional cost.
Another provider at this address
About NPI 1447938683
Lively Virtual Care Organization PC's National Provider Identifier is 1447938683, issued on Jul 7, 2023. The primary taxonomy on file is Point of Service (305S00000X), and the practice location is in Roseville, CA. The record was last updated on Feb 5, 2024.