Living Waters Home Care

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

1285L001 Issued in NY

Legal business name

LIVING WATERS HOME CARE

Practice address

504 Coney Island Ave
Brooklyn, NY 11218-3409

Phone

(718) 584-6900

Fax

(718) 584-6901

NPI assigned

Jun 28, 2016

Organization subpart

No

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

Authorized official

Name

Harold Weinstein

Title

President

Phone

(718) 584-6900

Specialties & licenses 1

Addresses

Other identifiers 1

Other names 1

• Blueline Home Care Doing business as

Tax ID family

Blueline Home Care2 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.

• Omega Care Services, Inc

  • Home Health Agency
  • Bronx, NY
  • NPI 1184775637
  NPD tax ID

Locations

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

{
    "created_epoch": "1467072000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1467072000000",
    "number": "1346691698",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "504 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183409",
            "telephone_number": "718-584-6900",
            "fax_number": "718-584-6901"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "504 CONEY ISLAND AVE",
            "city": "BROOKLYN",
            "state": "NY",
            "postal_code": "112183409",
            "telephone_number": "718-584-6900",
            "fax_number": "718-584-6901"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-06-28",
        "last_updated": "2016-06-28",
        "status": "A",
        "authorized_official_last_name": "WEINSTEIN",
        "authorized_official_first_name": "HAROLD",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "718-584-6900"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NY",
            "license": "1285L001",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "04263961",
            "state": "NY"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Blueline Home Care",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Marie Liverpool, LPN
• Steven Liverpool, M.D.
• Toyae Liverpool, LCSW
• Living Above Disorder, Inc.
• Living Joy Inc.
• Living Well LCSW PC
• Living-at-Home Medical, PC
• Livingston Dental Care PC
• Hannah Livingston
• Jed A Livingston, PSY.D.

• Home Health Agency in Brooklyn, NY
• Providers in Brooklyn, NY by specialty
• Home Health Agency in New York

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 28, 2016; 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.