NPIMap

Organization Active NPI

Living Waters Community Ministry

  • Preferred Provider Organization
  • Baton Rouge, LA
National Provider Identifier
1386990430
Registry record updated Jul 26, 2012
On this page

Key facts

NPPES NPI Registry
Primary specialty
Preferred Provider OrganizationTaxonomy code 305R00000X
License
336 Issued in LA
Legal business name
LIVING WATERS COMMUNITY MINISTRY
Practice address
803 N 48TH St
Baton Rouge, LA 70802-1346
Phone
(225) 248-1054
Fax
(225) 216-7461
NPI assigned
Jul 26, 2012
Last updated
Jul 26, 2012By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2012

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

Authorized official

Name
Mrs. Camille H Litt
Title
Administrator
Phone
(225) 205-4960

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Preferred Provider Organization 305R00000X 336 LA Primary

Addresses

Primary practice location

803 N 48TH St
Baton Rouge, LA 70802-1346

Mailing address

803 N 48TH St
Baton Rouge, LA 70802-1346
Phone (225) 248-1054

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1343260800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1343260800000",
    "number": "1386990430",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "803 N 48TH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708021346",
            "telephone_number": "225-248-1054",
            "fax_number": "225-216-7461"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "803 N 48TH ST",
            "city": "BATON ROUGE",
            "state": "LA",
            "postal_code": "708021346",
            "telephone_number": "225-248-1054",
            "fax_number": "225-216-7461"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS COMMUNITY MINISTRY",
        "organizational_subpart": "NO",
        "enumeration_date": "2012-07-26",
        "last_updated": "2012-07-26",
        "status": "A",
        "authorized_official_last_name": "LITT",
        "authorized_official_first_name": "CAMILLE",
        "authorized_official_middle_name": "H",
        "authorized_official_title_or_position": "ADMINISTRATOR",
        "authorized_official_telephone_number": "225-205-4960",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "305R00000X",
            "taxonomy_group": "",
            "desc": "Preferred Provider Organization",
            "state": "LA",
            "license": "336",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Baton Rouge, LA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2012; 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.