LIVELY VIRTUAL CARE ORGANIZATION PC NPI 1447938683

NPI Information

  • NPI: 1447938683
  • Provider Name: LIVELY VIRTUAL CARE ORGANIZATION PC
  • Classification: Point of Service - 305S00000X
  • Entity Type: Organization
  • Doing Business As: LIVELY VIRTUAL CARE ORGANIZATION PC
  • Address: 108 BEN EZRA AVE
    ROSEVILLE, CA
    ZIP 95678
  • Phone: (916) 235-8617

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NPI Details

LIVELY VIRTUAL CARE ORGANIZATION PC is a point of service in Roseville, CA. The provider is 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. LIVELY VIRTUAL CARE ORGANIZATION PC NPI is 1447938683. The provider is registered as an organization entity type and is a multi-specialty group.
The provider Is Doing Business As Lively Virtual Care Organization Pc.

The provider's business location address is:

108 BEN EZRA AVE
ROSEVILLE, CA
ZIP 95678-702
Phone: (916) 235-8617
Fax: (916) 846-9463

The provider's authorized official is Sandra Kocsis .
The authorized official title is Ceo and has the following contact phone number (916) 622-3609.

The enumeration date for this NPI number is 7/7/2023 and was last updated on 2/5/2024.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1207Q00000XFamily MedicineNo
2251E00000XHome HealthNo
3252Y00000XEarly Intervention Provider AgencyNo
4253Z00000XIn Home Supportive CareNo
5261Q00000XClinic/CenterNo
6332B00000XDurable Medical Equipment & Medical SuppliesNo
7305S00000XPoint of ServiceYes

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/21/2025

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