Organization Active NPI

Chirst of Living Water, Inc.

  • Assisted Living Facility
  • Fresno, CA
National Provider Identifier
1841034030
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Assisted Living FacilityTaxonomy code 310400000X
Legal business name
CHIRST OF LIVING WATER, INC.
Practice address
2114 E Floral Ave
Fresno, CA 93725-9666
Phone
(559) 653-8257
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Nevia Hutchinson
Title
Licensee
Phone
(559) 653-8257

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Assisted Living Facility 310400000X Primary

Addresses

Primary practice location

2114 E Floral Ave
Fresno, CA 93725-9666

Mailing address

2114 E Floral Ave
Fresno, CA 93725-9666
Phone (559) 653-8257

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1841034030",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2114 E FLORAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937259666",
            "telephone_number": "559-653-8257"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2114 E FLORAL AVE",
            "city": "FRESNO",
            "state": "CA",
            "postal_code": "937259666",
            "telephone_number": "559-653-8257"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "CHIRST OF LIVING WATER, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "HUTCHINSON",
        "authorized_official_first_name": "NEVIA",
        "authorized_official_title_or_position": "LICENSEE",
        "authorized_official_telephone_number": "559-653-8257"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Fresno, CA

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 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.