Active NPI
Living Hope Healing Waters
- Psychiatric Hospital
- Texarkana, TX
National Provider Identifier
1700810637
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Psychiatric Hospital
- Legal business name
- LIVING HOPE HEALING WATERS
- Practice address
- 1000 Pine St
Texarkana, TX 75501-5100 - Phone
- (903) 791-8388
- Fax
- (903) 791-8385
- NPI assigned
- Jul 10, 2006
- Last updated
- Aug 22, 2020
- 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
- David Kimbro Stephens, J.D.
- Title
- Vice President
- Phone
- (903) 791-8388
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Psychiatric Hospital | 283Q00000X | NU | Primary |
Addresses
Primary practice location
1000 Pine St
Texarkana, TX 75501-5100
Mailing address
1111 Hazel St
Texarkana, TX 75501-5229
Phone (903) 791-8388
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1152489600000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1700810637",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "1111 HAZEL ST",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015229",
"telephone_number": "903-791-8388",
"fax_number": "903-791-8385"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "1000 PINE ST",
"city": "TEXARKANA",
"state": "TX",
"postal_code": "755015100",
"telephone_number": "903-791-8388",
"fax_number": "903-791-8385"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LIVING HOPE HEALING WATERS",
"organizational_subpart": "NO",
"enumeration_date": "2006-07-10",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "STEPHENS",
"authorized_official_first_name": "DAVID",
"authorized_official_middle_name": "KIMBRO",
"authorized_official_title_or_position": "VICE PRESIDENT",
"authorized_official_telephone_number": "903-791-8388",
"authorized_official_credential": "J.D."
},
"taxonomies": [
{
"code": "283Q00000X",
"taxonomy_group": "",
"desc": "Psychiatric Hospital",
"state": "NU",
"license": null,
"primary": true
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}Other providers in Texarkana, TX
- Lincare Inc (United Medical)
- Lincare Inc. (Home Oxygen 2U)
- Lippian Family Dentistry, P.C.
- Adriane Louise Lippian, DDS
- James Michael Lippian, DDS
- Living Hope New Boston LLC (Living Hope New Boston Medical Center)
- Living Hope Texarkana, LLC
- Living Well Chiropractic PC (Living Well Chiropractic)
- Aubrey Morgan Lockeby
- Hannah Caroline Lockeby, PA-C
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.