Organization Active NPI

The Waters Senior Living Management LLC

  • Attendant Care Provider
  • Warrendale, PA
National Provider Identifier
1821565946
Registry record updated Jul 18, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Attendant Care ProviderTaxonomy code 3747A0650X
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

Updated by the provider on Jul 18, 2024

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)CodeLicenseStatePrimary
Attendant Care ProviderGroup: 193200000X MULTI-SPECIALTY GROUP 3747A0650X Primary
Personal Care AttendantGroup: 193200000X MULTI-SPECIALTY GROUP 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 Directory

Locations

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.

Verify at the official NPI Registry.