The Living Water

Primary specialty

Physical Disabilities Residential Treatment FacilityTaxonomy code 320700000X

License

347003886 Issued in CA

Legal business name

THE LIVING WATER

Practice address

7504 Chipmunk Way
Citrus Heights, CA 95610

Phone

(916) 722-4056

Fax

(916) 722-4056

NPI assigned

Jul 19, 2011

Organization subpart

No

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

Authorized official

Name

Mrs. Marlana N Laquaglia

Title

Care Provider

Phone

(916) 722-4056

Specialties & licenses 1

Addresses

Other identifiers 1

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

{
    "created_epoch": "1311033600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1311033600000",
    "number": "1295023679",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7504 CHIPMUNK WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95610",
            "telephone_number": "916-722-4056",
            "fax_number": "916-722-4056"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7504 CHIPMUNK WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "95610",
            "telephone_number": "916-722-4056",
            "fax_number": "916-722-4056"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVING WATER",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-07-19",
        "last_updated": "2011-07-19",
        "status": "A",
        "authorized_official_last_name": "LAQUAGLIA",
        "authorized_official_first_name": "MARLANA",
        "authorized_official_middle_name": "N",
        "authorized_official_title_or_position": "CARE PROVIDER",
        "authorized_official_telephone_number": "916-722-4056",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "320700000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Physical Disabilities",
            "state": "CA",
            "license": "347003886",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "KAISER PERMENANTE",
            "identifier": "5233058",
            "state": "CA"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• Terra Nova Counseling
• Terra Nova Counseling
• Jahnvi Thakker
• Blong Thao
• The Learning Owl
• The Living Water Care Home Inc.
• The Missing Peace Consulting & Family Counseling, Inc.
• The Oars Senior Living Inc.
• The Physical Therapy Clinics, Inc.
• The Sunrise Village LLC

• Physical Disabilities Residential Treatment Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Physical Disabilities Residential Treatment Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 19, 2011; 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.