NPIMap

Organization Active NPI

Living Water's Home Care, LLC

  • Home Health Agency
  • Sparta, NC
National Provider Identifier
1942389507
Registry record updated Jan 2, 2008
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
HC3349 Issued in NC
Legal business name
LIVING WATER'S HOME CARE, LLC
Practice address
623 Hendrix Rd
Sparta, NC 28675-9241
Phone
(336) 372-5978
Fax
(336) 372-1838
NPI assigned
Nov 3, 2006
Last updated
Jan 2, 2008By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 2, 2008

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

Authorized official

Name
Linda Collins Joines
Title
Owner/Director
Phone
(336) 200-3335

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X HC3349 NC Primary

Addresses

Primary practice location

623 Hendrix Rd
Sparta, NC 28675-9241

Mailing address

623 Hendrix Rd
Sparta, NC 28675-9241
Phone (336) 372-5978

Other identifiers 1

IdentifierTypeStateIssuer
6601479MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
Living Water's Home Care LLC3 organizations share this tax ID, including this one

Other organizations with this tax ID 2

Organizations that report the same tax identification number in the National Provider Directory.

NPI Registry JSON

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

{
    "created_epoch": "1162512000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1199232000000",
    "number": "1942389507",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "623 HENDRIX RD",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759241",
            "telephone_number": "336-372-5978",
            "fax_number": "336-372-1838"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "623 HENDRIX RD",
            "city": "SPARTA",
            "state": "NC",
            "postal_code": "286759241",
            "telephone_number": "336-372-5978",
            "fax_number": "336-372-1838"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LIVING WATER'S HOME CARE, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-11-03",
        "last_updated": "2008-01-02",
        "status": "A",
        "authorized_official_last_name": "JOINES",
        "authorized_official_first_name": "LINDA",
        "authorized_official_middle_name": "COLLINS",
        "authorized_official_title_or_position": "OWNER/DIRECTOR",
        "authorized_official_telephone_number": "336-200-3335"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3349",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601479",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Sparta, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 2, 2008; 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.