Organization Active NPI

Living Water Home Health Corporation

  • Home Health Agency
  • Van Nuys, CA
National Provider Identifier
1740937341
Registry record updated Jan 3, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LIVING WATER HOME HEALTH CORPORATION
Practice address
14545 Friar St Ste 188
Van Nuys, CA 91411-2397
Phone
(626) 354-0916
NPI assigned
Mar 4, 2022
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 3, 2024

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

Authorized official

Name
Mrs. Aziza Georgian
Title
Ceo/Cfo/Secretary
Phone
(626) 354-0916

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

14545 Friar St Ste 188
Van Nuys, CA 91411-2397

Mailing address

221 E Walnut St Ste 255B
Pasadena, CA 91101-1585
Phone (626) 354-0916

National Provider Directory

National Provider Directory

Locations

221 E Walnut St
Ste 255B
Pasadena, CA 91101

NPI Registry JSON

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

{
    "created_epoch": "1646352000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1704240000000",
    "number": "1740937341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "221 E WALNUT ST STE 255B",
            "city": "PASADENA",
            "state": "CA",
            "postal_code": "911011585",
            "telephone_number": "626-354-0916",
            "fax_number": "626-900-1114"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "14545 FRIAR ST STE 188",
            "city": "VAN NUYS",
            "state": "CA",
            "postal_code": "914112397",
            "telephone_number": "626-354-0916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER HOME HEALTH CORPORATION",
        "organizational_subpart": "NO",
        "enumeration_date": "2022-03-04",
        "last_updated": "2024-01-03",
        "certification_date": "2024-01-03",
        "status": "A",
        "authorized_official_last_name": "GEORGIAN",
        "authorized_official_first_name": "AZIZA",
        "authorized_official_title_or_position": "CEO/CFO/SECRETARY",
        "authorized_official_telephone_number": "626-354-0916",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Van Nuys, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 3, 2024; 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.