Living Water Home Health LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LIVING WATER HOME HEALTH LLC

Practice address

3730 Kirby Dr Ste 1200
Houston, TX 77098-3985

Phone

(832) 552-0674

Fax

(833) 260-8598

NPI assigned

Mar 16, 2016

Last updated

Dec 2, 2020By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Mrs. Roxane Gillam FreemanNPI 1275993222

Title

Owner

Phone

(832) 552-0674

Specialties & licenses 1

Addresses

Locations

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

• Roxane Gillam Freeman

  • Case Manager/Care Coordinator
  • Nederland, TX
  • NPI 1275993222
  NPD Authorized official

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

{
    "created_epoch": "1458086400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1606867200000",
    "number": "1902267131",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 2798",
            "city": "BAYTOWN",
            "state": "TX",
            "postal_code": "775222738",
            "telephone_number": "832-552-0674",
            "fax_number": "833-260-8598"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3730 KIRBY DR STE 1200",
            "city": "HOUSTON",
            "state": "TX",
            "postal_code": "770983985",
            "telephone_number": "832-552-0674",
            "fax_number": "833-260-8598"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "2300 Highway 365 Ste 440",
            "address_purpose": "LOCATION",
            "city": "Nederland",
            "state": "TX",
            "postal_code": "776276258",
            "country_code": "US",
            "telephone_number": "409-433-7548",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LIVING WATER HOME HEALTH LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-03-16",
        "last_updated": "2020-12-02",
        "certification_date": "2020-11-27",
        "status": "A",
        "authorized_official_last_name": "FREEMAN",
        "authorized_official_first_name": "ROXANE",
        "authorized_official_middle_name": "GILLAM",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "832-552-0674",
        "authorized_official_name_prefix": "Mrs."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

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• Home Health Agency in Houston, TX
• Providers in Houston, TX by specialty
• Home Health Agency in Texas

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Dec 2, 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.

Verify at the official NPI Registry.