Living Waters Home Care LLC Dba Services Unlimited

Primary specialty

Nurse's AideTaxonomy code 376K00000X

License

HC1588 Issued in NC

Legal business name

LIVING WATERS HOME CARE LLC DBA SERVICES UNLIMITED

Practice address

170 Memorial Park Dr
Sparta, NC 28675-9703

Phone

(336) 372-5150

Fax

(336) 372-1838

NPI assigned

Feb 2, 2007

Last updated

Aug 20, 2014By 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

Mr. John W Joines

Title

Director

Phone

(336) 372-5150

Specialties & licenses 8

Addresses

Other identifiers 2

Tax ID family

Living Water's Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

• Living Water's Home Care, LLC

  • Home Health Agency
  • Sparta, NC
  • NPI 1942389507
  NPD tax ID
• Living Waters Home Care, LLC

  • Home Health Agency
  • Sparta, NC
  • NPI 1912058975
  NPD tax ID

Locations

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

{
    "created_epoch": "1170374400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1408492800000",
    "number": "1063550762",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "170 MEMORIAL PARK DR",
            "address_2": "PO BOX 446",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759703",
            "telephone_number": "336-372-5150",
            "fax_number": "336-372-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "170 MEMORIAL PARK DR",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759703",
            "telephone_number": "336-372-5150",
            "fax_number": "336-372-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS HOME CARE LLC DBA SERVICES UNLIMITED",
        "organizational_subpart": "NO",
        "enumeration_date": "2007-02-02",
        "last_updated": "2014-08-20",
        "status": "A",
        "authorized_official_last_name": "JOINES",
        "authorized_official_first_name": "JOHN",
        "authorized_official_middle_name": "W",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "336-372-5150",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "372500000X",
            "taxonomy_group": "",
            "desc": "Chore Provider",
            "state": "NC",
            "license": "HC1588",
            "primary": false
        },
        {
            "code": "372600000X",
            "taxonomy_group": "",
            "desc": "Adult Companion",
            "state": "NC",
            "license": "HC1588",
            "primary": false
        },
        {
            "code": "373H00000X",
            "taxonomy_group": "",
            "desc": "Day Training/Habilitation Specialist",
            "state": "NC",
            "license": "HC1588",
            "primary": false
        },
        {
            "code": "3747A0650X",
            "taxonomy_group": "",
            "desc": "Technician, Attendant Care Provider",
            "state": "NC",
            "license": "HC1588",
            "primary": false
        },
        {
            "code": "3747P1801X",
            "taxonomy_group": "",
            "desc": "Technician, Personal Care Attendant",
            "state": "NC",
            "license": "HC1588",
            "primary": false
        },
        {
            "code": "376J00000X",
            "taxonomy_group": "",
            "desc": "Homemaker",
            "state": "NC",
            "license": "HC1588",
            "primary": false
        },
        {
            "code": "376K00000X",
            "taxonomy_group": "",
            "desc": "Nurse's Aide",
            "state": "NC",
            "license": "HC1588",
            "primary": true
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": "NU",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6600622",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3409072",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Lawson Support Services, LLC
• Lawson Support Services, LLC
• Lawson Support Services, LLC
• Lawson Support Services,LLC
• Living Water's Home Care, LLC
• Living Waters Home Care, LLC
• Kay Key Luffman, LPC
• Mary Elizabeth Lyon Smith, MD
• Morgan Lyons
• Stephen L McNeil, MD

• Nurse's Aide in Sparta, NC
• Providers in Sparta, NC by specialty
• Nurse's Aide in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 20, 2014; 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.