Active NPI
Living Word Lutheran Church
- Home Health Aide
- Plymouth, MI
National Provider Identifier
1174136568
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Aide
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| Home Health Aide | 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 Church
Other organizations with this tax ID 1
Organizations that report the same tax identification number in the National Provider Directory.
-
- Adult Day Care Clinic/Center
- Plymouth, MI
- NPI 1902448731
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.