Organization Active NPI

Waters Care LLC

  • Assisted Living Facility
  • Memphis, TN
National Provider Identifier
1609784461
Registry record updated Aug 31, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
WATERS CARE LLC
Practice address
1802 Patrick Rd
Memphis, TN 38114-5832
Phone
(901) 779-0879
Fax
(901) 779-0879
NPI assigned
Aug 31, 2026
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 31, 2026

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

Authorized official

Name
Jennifer Waters
Title
Owner
Phone
(901) 779-0879

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X
Assisted Living Facility 310400000X Primary
Private Vehicle 347C00000X

Addresses

Primary practice location

1802 Patrick Rd
Memphis, TN 38114-5832

Mailing address

1802 Patrick Rd
Memphis, TN 38114-5832
Phone (901) 779-0879

NPI Registry JSON

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

{
    "created_epoch": "1788134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1788134400000",
    "number": "1609784461",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1802 PATRICK RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381145832",
            "telephone_number": "901-779-0879",
            "fax_number": "901-779-0879"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1802 PATRICK RD",
            "city": "MEMPHIS",
            "state": "TN",
            "postal_code": "381145832",
            "telephone_number": "901-779-0879",
            "fax_number": "901-779-0879"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "WATERS CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2026-08-31",
        "last_updated": "2026-08-31",
        "certification_date": "2026-08-31",
        "status": "A",
        "authorized_official_last_name": "WATERS",
        "authorized_official_first_name": "JENNIFER",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "901-779-0879"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Memphis, TN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 31, 2026; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.

Verify at the official NPI Registry.