Active NPI
The Waters Senior Living Management LLC
- Attendant Care Provider
- Warrendale, PA
National Provider Identifier
1821565946
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Attendant Care Provider
- Legal business name
- THE WATERS SENIOR LIVING MANAGEMENT LLC
- Practice address
- 210 Fowler Rd
Warrendale, PA 15086-1126 - Phone
- (724) 799-8260
- NPI assigned
- Oct 26, 2018
- 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
- Heidi M Elliott
- Title
- Chief Operating Officer
- Phone
- (952) 358-5100
Specialties & licenses 2
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Attendant Care Provider | 3747A0650X | Primary | ||
| Personal Care Attendant | 3747P1801X |
Addresses
Primary practice location
210 Fowler Rd
Warrendale, PA 15086-1126
Mailing address
10900 Wayzata Blvd
Suite 740
Minnetonka, MN 55305-0004
Phone (952) 358-5100
Other practice location 1
210 Fowler Rd
Warrendale, PA 15086-1116
Phone (724) 799-8260
National Provider Directory
National Provider DirectoryLocations
10900 Wayzata Blvd
Ste 740
Minnetonka, MN 55305
1600 Hopkins Xrd
Minnetonka, MN 55305
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1540512000000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1721260800000",
"number": "1821565946",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "10900 WAYZATA BLVD",
"address_2": "SUITE 740",
"city": "MINNETONKA",
"state": "MN",
"postal_code": "553050004",
"telephone_number": "952-358-5100"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "210 FOWLER RD",
"city": "WARRENDALE",
"state": "PA",
"postal_code": "150861126",
"telephone_number": "724-799-8260"
}
],
"practiceLocations": [
{
"address_1": "210 Fowler Rd",
"address_purpose": "LOCATION",
"city": "Warrendale",
"state": "PA",
"postal_code": "150861116",
"country_code": "US",
"telephone_number": "724-799-8260",
"country_name": "United States",
"address_type": "DOM"
}
],
"basic": {
"organization_name": "THE WATERS SENIOR LIVING MANAGEMENT LLC",
"organizational_subpart": "NO",
"enumeration_date": "2018-10-26",
"last_updated": "2024-07-18",
"status": "A",
"authorized_official_last_name": "ELLIOTT",
"authorized_official_first_name": "HEIDI",
"authorized_official_middle_name": "M",
"authorized_official_title_or_position": "CHIEF OPERATING OFFICER",
"authorized_official_telephone_number": "952-358-5100"
},
"taxonomies": [
{
"code": "3747A0650X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Attendant Care Provider",
"state": null,
"license": null,
"primary": true
},
{
"code": "3747P1801X",
"taxonomy_group": "193200000X MULTI-SPECIALTY GROUP",
"desc": "Technician, Personal Care Attendant",
"state": null,
"license": null,
"primary": false
}
],
"identifiers": [],
"endpoints": [],
"other_names": []
}
Other providers in Warrendale, PA
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jul 18, 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.