Organization Active NPI

Living Waters Health Solutions LLC

  • In Home Supportive Care Agency
  • Conyers, GA
National Provider Identifier
1619863156
Registry record updated Jul 26, 2026
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LIVING WATERS HEALTH SOLUTIONS LLC
Doing business as
Living Waters Health Solutions LLC
Practice address
1281 Kay Ter SE
Conyers, GA 30013-2939
Phone
(770) 895-8006
NPI assigned
Jun 12, 2025
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 26, 2026

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

Authorized official

Name
Catherine Agionomoisi Utsalo
Title
Ceo
Phone
(770) 895-8006

Specialties & licenses 2

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

1281 Kay Ter SE
Conyers, GA 30013-2939

Mailing address

1281 Kay Ter SE
Conyers, GA 30013-2939
Phone (770) 895-8006

Other names 1

  • LIVING WATERS HEALTH SOLUTIONS LLC Doing business as

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1749686400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1785024000000",
    "number": "1619863156",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1281 KAY TER SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132939",
            "telephone_number": "770-895-8006"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1281 KAY TER SE",
            "city": "CONYERS",
            "state": "GA",
            "postal_code": "300132939",
            "telephone_number": "770-895-8006"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS HEALTH SOLUTIONS LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2025-06-12",
        "last_updated": "2026-07-26",
        "certification_date": "2026-07-26",
        "status": "A",
        "authorized_official_last_name": "UTSALO",
        "authorized_official_first_name": "CATHERINE",
        "authorized_official_middle_name": "AGIONOMOISI",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "770-895-8006"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "LIVING WATERS HEALTH SOLUTIONS LLC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Conyers, GA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 26, 2026; 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.