Active NPI
Waters Care LLC
- Assisted Living Facility
- Memphis, TN
National Provider Identifier
1609784461
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Assisted Living Facility
- 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
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) | Code | License | State | Primary |
|---|---|---|---|---|
| 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.