Active NPI
Livingwaterplus Healthcare Services LLC
- Home Health Agency
- Columbus, OH
National Provider Identifier
1275869836
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Home Health Agency
- 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 LLC
NPPES NPI Registry
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 2630399 | Medicaid | OH |
National Provider Directory
National Provider Directory- Tax ID family
- Living-Water Plus Healthcare Services LLC
- 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.
-
- Home Health Agency
- Columbus, OH
- NPI 1013166271
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.