TIMOTHY LIVELY NPI 1538531058

NPI Details

Timothy Lively is a home health in Arden Hills, MN. The provider is a public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety. Timothy Lively NPI is 1538531058. The provider is registered as an individual entity type.

The NPPES NPI record indicates the provider is a male.

The provider's business location address is:

3900 NORTHWOODS DR STE 240
ARDEN HILLS, MN
ZIP 55112-991
Phone: (651) 633-7300
Fax: (651) 633-7301

The enumeration date for this NPI number is 10/23/2015 and was last updated on 5/1/2025.

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: