Organization Active NPI

Livingwaterplus Healthcare Services LLC

  • Home Health Agency
  • Columbus, OH
National Provider Identifier
1275869836
Registry record updated Nov 2, 2009
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVINGWATERPLUS HEALTHCARE SERVICES LLC
Practice address
2021 E Dublin Granville Rd
256
Columbus, OH 43229-3568
Phone
(614) 596-4626
Fax
(614) 747-8126
NPI assigned
Nov 2, 2009
Organization subpart
Yes
Parent organization
LIVINGWATER HEALTHCARE SERVICES LLCAs reported in NPPES

NPPES NPI Registry

Updated by the provider on Nov 2, 2009

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

Authorized official

Name
Bosede O Adetunji
Title
Nursing Coordinator
Phone
(614) 596-4626

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2021 E Dublin Granville Rd
256
Columbus, OH 43229-3568

Mailing address

2021 E Dublin Granville Rd
256
Columbus, OH 43229-3568
Phone (614) 596-4626

Other identifiers 1

IdentifierTypeStateIssuer
2630399MedicaidOH

National Provider Directory

National Provider Directory
Tax ID family
Living-Water Plus Healthcare Services LLC2 organizations share this tax ID, including this one
Part of
Living-Water Healthcare Services LLC

Other organizations with this tax ID 1

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

Locations

2021 E Dublin Granville Rd
Ste 256
Columbus, OH 43229
Phone (614) 596-4626

NPI Registry JSON

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

{
    "created_epoch": "1257120000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1257120000000",
    "number": "1275869836",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2021 E DUBLIN GRANVILLE RD",
            "address_2": "256",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293568",
            "telephone_number": "614-596-4626",
            "fax_number": "614-747-8126"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2021 E DUBLIN GRANVILLE RD",
            "address_2": "256",
            "city": "COLUMBUS",
            "state": "OH",
            "postal_code": "432293568",
            "telephone_number": "614-596-4626",
            "fax_number": "614-747-8126"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVINGWATERPLUS HEALTHCARE SERVICES LLC",
        "organizational_subpart": "YES",
        "parent_organization_legal_business_name": "LIVINGWATER HEALTHCARE SERVICES LLC",
        "enumeration_date": "2009-11-02",
        "last_updated": "2009-11-02",
        "status": "A",
        "authorized_official_last_name": "ADETUNJI",
        "authorized_official_first_name": "BOSEDE",
        "authorized_official_middle_name": "O",
        "authorized_official_title_or_position": "NURSING COORDINATOR",
        "authorized_official_telephone_number": "614-596-4626"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "2630399",
            "state": "OH"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Columbus, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2009; 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.