Living Water Family Home

Primary specialty

Developmentally Disabled Services Day Training AgencyTaxonomy code 251C00000X

Legal business name

LIVING WATER FAMILY HOME

Practice address

5440 W Placide Cir
Wasilla, AK 99623-0982

Phone

(631) 560-8991

NPI assigned

May 5, 2025

Last updated

May 5, 2025By the provider in NPPES

Organization subpart

No

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name

Pristine Beers

Title

Ceo

Phone

(631) 560-8991

Specialties & licenses 1

Addresses

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1746403200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1746403200000",
    "number": "1053100297",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "5440 W PLACIDE CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230982",
            "telephone_number": "631-560-8991"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "5440 W PLACIDE CIR",
            "city": "WASILLA",
            "state": "AK",
            "postal_code": "996230982",
            "telephone_number": "631-560-8991"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER FAMILY HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-05-05",
        "last_updated": "2025-05-05",
        "certification_date": "2025-05-05",
        "status": "A",
        "authorized_official_last_name": "BEERS",
        "authorized_official_first_name": "PRISTINE",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "631-560-8991"
    },
    "taxonomies": [
        {
            "code": "251C00000X",
            "taxonomy_group": "",
            "desc": "Day Training, Developmentally Disabled Services",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Developmentally Disabled Services Day Training Agency in Alaska

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 5, 2025; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.