Organization Active NPI

Living Word Lutheran Church

  • Home Health Aide
  • Plymouth, MI
National Provider Identifier
1174136568
Registry record updated Aug 26, 2020
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AideTaxonomy code 374U00000X
Legal business name
LIVING WORD LUTHERAN CHURCH
Practice address
46500 N Territorial Rd
Plymouth, MI 48170-3066
Phone
(734) 207-9673
NPI assigned
Aug 26, 2020
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 26, 2020

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

Authorized official

Name
Mr. Samuel Watters
Title
Congregation Pastor
Phone
(734) 664-4489

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health AideGroup: 193400000X SINGLE SPECIALTY GROUP 374U00000X Primary

Addresses

Primary practice location

46500 N Territorial Rd
Plymouth, MI 48170-3066

Mailing address

46500 N Territorial Rd
Plymouth, MI 48170-3066
Phone (734) 207-9673

National Provider Directory

National Provider Directory
Tax ID family
Living Word Lutheran Church2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

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

NPI Registry JSON

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

{
    "created_epoch": "1598400000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598400000000",
    "number": "1174136568",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "46500 N TERRITORIAL RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703066",
            "telephone_number": "734-207-9673"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "46500 N TERRITORIAL RD",
            "city": "PLYMOUTH",
            "state": "MI",
            "postal_code": "481703066",
            "telephone_number": "734-207-9673"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WORD LUTHERAN CHURCH",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-08-26",
        "last_updated": "2020-08-26",
        "certification_date": "2020-08-12",
        "status": "A",
        "authorized_official_last_name": "WATTERS",
        "authorized_official_first_name": "SAMUEL",
        "authorized_official_title_or_position": "CONGREGATION PASTOR",
        "authorized_official_telephone_number": "734-664-4489",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "374U00000X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Home Health Aide",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Plymouth, MI

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 26, 2020; 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.