Premise Health of West Virginia Medical, Medical Corporation
NPI 1104317734 · Clinic/Center · Louisville, KY
Premise Health of West Virginia Medical, Medical Corporation is a Clinic/Center organization in Louisville, KY (NPI 1104317734).
Provider details
- NPI number
- 1104317734
- Entity type
- Organization
- Primary specialty
- Clinic/CenterAmbulatory Health Care Facilities
- Organization subpart
- No
- Authorized official
- Jon Leizman, President(216) 479-9063
Specialties & taxonomies
Ambulatory Health Care Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
8 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Other names (DBA / former)
- Doing business as
- L & N Livingwell Health Clinic
Registry dates
- Enumerated
- 2018-05-18
- Last updated
- 2022-08-15
- Certified
- 2022-08-15
Frequently asked questions
- What is Premise Health of West Virginia Medical, Medical Corporation's NPI number?
- Premise Health of West Virginia Medical, Medical Corporation's National Provider Identifier (NPI) is 1104317734, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Premise Health of West Virginia Medical, Medical Corporation?
- Premise Health of West Virginia Medical, Medical Corporation is classified in the NPPES registry as Clinic/Center (Ambulatory Health Care Facilities).
- Where is Premise Health of West Virginia Medical, Medical Corporation located?
- Premise Health of West Virginia Medical, Medical Corporation's practice location on file with NPPES is 908 W Broadway Fl 8, Louisville, KY 40203.
- What is Premise Health of West Virginia Medical, Medical Corporation's phone number?
- The practice phone number listed in the NPPES registry for Premise Health of West Virginia Medical, Medical Corporation is (502) 779-6015.
- Who is the authorized official for Premise Health of West Virginia Medical, Medical Corporation?
- The authorized official listed on Premise Health of West Virginia Medical, Medical Corporation's NPPES record is Jon Leizman, President. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Premise Health of West Virginia Medical, Medical Corporation's NPI active?
- Yes — Premise Health of West Virginia Medical, Medical Corporation's NPI (1104317734) is active in the NPPES registry as of the last update on 2022-08-15.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.