Living Waters Hospice

Primary specialty

Community Based Hospice Care AgencyTaxonomy code 251G00000X

Legal business name

LIVING WATERS HOSPICE

Practice address

20953 Devonshire St Ste 8C
Chatsworth, CA 91311-2371

Phone

(310) 877-8067

Fax

(818) 280-3874

NPI assigned

Apr 7, 2021

Last updated

Apr 7, 2021By 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

Hollis Frederick

Title

Ceo/Owner

Phone

(310) 877-8067

Specialties & licenses 1

Addresses

Other names 1

• Living Waters Hospice Other name

Locations

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

{
    "created_epoch": "1617753600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1617753600000",
    "number": "1679152318",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "20953 DEVONSHIRE ST STE 8C",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112371",
            "telephone_number": "310-877-8067"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "20953 DEVONSHIRE ST STE 8C",
            "city": "CHATSWORTH",
            "state": "CA",
            "postal_code": "913112371",
            "telephone_number": "310-877-8067",
            "fax_number": "818-280-3874"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATERS HOSPICE",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-04-07",
        "last_updated": "2021-04-07",
        "certification_date": "2021-04-07",
        "status": "A",
        "authorized_official_last_name": "FREDERICK",
        "authorized_official_first_name": "HOLLIS",
        "authorized_official_title_or_position": "CEO/OWNER",
        "authorized_official_telephone_number": "310-877-8067"
    },
    "taxonomies": [
        {
            "code": "251G00000X",
            "taxonomy_group": "",
            "desc": "Hospice Care, Community Based",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Living Waters Hospice",
            "code": "5",
            "type": "Other Name"
        }
    ]
}

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• Community Based Hospice Care Agency in Chatsworth, CA
• Providers in Chatsworth, CA by specialty
• Community Based Hospice Care Agency in California

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 7, 2021; 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.