The Living Water Care Home Inc.

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

Legal business name

THE LIVING WATER CARE HOME INC.

Practice address

7800 Claypool Way
Citrus Heights, CA 95610-2707

Phone

(279) 529-2233

NPI assigned

Feb 20, 2023

Last updated

Feb 20, 2023By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Herlina Pranoto

Title

Licensee

Phone

(279) 529-2233

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1676851200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1676851200000",
    "number": "1427756493",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "7800 CLAYPOOL WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102707",
            "telephone_number": "279-529-2233"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "7800 CLAYPOOL WAY",
            "city": "CITRUS HEIGHTS",
            "state": "CA",
            "postal_code": "956102707",
            "telephone_number": "279-529-2233"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LIVING WATER CARE HOME INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2023-02-20",
        "last_updated": "2023-02-20",
        "certification_date": "2023-02-20",
        "status": "A",
        "authorized_official_last_name": "PRANOTO",
        "authorized_official_first_name": "HERLINA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "279-529-2233"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Thomas H Murphy OD Inc (Eye Designs Optometry)

• Assisted Living Facility in Citrus Heights, CA
• Providers in Citrus Heights, CA by specialty
• Assisted Living Facility in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 20, 2023; 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.