LIVING WATERS - TIMBERVILLE (NPI# 1699941294) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1699941294 |
| Entity Type | Organization |
| Organization Name | LIVING WATERS - TIMBERVILLE |
| Practice Address |
379 N Main St Timberville VA 22853-9319 |
| Practice Telephone | 5408964558 |
| Mailing Telephone | 5408964558 |
| Enumeration Date | 2008-05-02 |
| Last Update Date | 2008-05-02 |
| Authorized Official Name | MR. DANIEL J. SHEETS (PRESIDENT) |
| Authorized Official Telephone | 5408964558 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 3104A0625X |
Assisted Living Facility Specialization: Assisted Living, Mental Illness |
Nursing & Custodial Care Facilities |
| Entity Type | Entity Name | Entity Address |
|---|---|---|
| Virginia Business Entities | LIVING WATERS - TIMBERVILLE INC. | 379 N Main St, Timbervilles, Virginia 22853 |
| Street Address |
379 N MAIN ST |
| City | TIMBERVILLE |
| State | VA |
| Zip Code | 22853-9319 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851494355 | Phyllis Pugh Garber | Pharmacist | 305 South Main St., Timberville, VA 22853 | 2006-09-07 |
| 1740382910 | Johnny Wayne Garber | Pharmacist | 305 South Main Street, Timberville, VA 22853 | 2006-09-01 |
| 1841286580 | Timberville Drug Store Inc | Pharmacy | 305 S Main Street, Timberville, VA 22853 | 2005-09-27 |
| 1356792899 | Wal-mart Stores East, Lp | Technician/Technologist | 375 S Main Street, Timberville, VA 22853-0000 | 2016-06-27 |
| 1639216823 | Alan David Robbins | Dentist | 204 W. Riverside Dr., Timberville, VA 22853-0602 | 2007-01-30 |
| 1093948713 | Patricia Gomez Lynch | Social Worker | 15150 Strooptown Rd, Timberville, VA 22853-2319 | 2009-08-27 |
| 1245508324 | Breaking Free | Community/Behavioral Health | 15150 Strooptown Rd, Timberville, VA 22853-2319 | 2011-12-05 |
| 1790894095 | Rite Aid of Virginia Inc | Durable Medical Equipment & Medical Supplies | 14111 Timber Way, Timberville, VA 22853-2325 | 2006-08-30 |
| 1790846624 | Pleasant View, Inc. | Day Training, Developmentally Disabled Services | 14881 Spar Mine Rd, Timberville, VA 22853-2346 | 2006-12-13 |
| 1538229562 | Pleasant View, Inc. | Day Training, Developmentally Disabled Services | 14883 Spar Mine Rd, Timberville, VA 22853-2346 | 2006-12-11 |
| Find all providers in zip 22853 | ||||
| Taxonomy Code | 3104A0625X |
| Grouping | Nursing & Custodial Care Facilities |
| Classification | Assisted Living Facility |
| Specialization | Assisted Living, Mental Illness |
| A facility providing supportive services to individuals who can function independently in most areas of activity, but need special guidance, assistance and/or monitoring as the result of a psychiatric problem. This type of facility requires a staff with special training in mental health training and dealing with psychiatric emergencies. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1497215461 | Pinnacle Community Services | Assisted Living Facility | 9001 Weems Rd, Manassas, VA 20110-4962 | 2019-03-25 |
| 1154847382 | Jeremy Scott Leach | Assisted Living Facility | 913 Bull Run, Staunton, VA 24401-1987 | 2017-08-18 |
| 1770003535 | Tiffanie Manor for Young Adults | Assisted Living Facility | 115 N Jefferson St, Richmond, VA 23220-5021 | 2017-06-22 |
| 1427588227 | Mental Wellness Residential | Assisted Living Facility | 1420 Spruce Street Extrension, Martinsville, VA 24412 | 2017-06-14 |
| 1588018071 | Arlington Voa Alr Operating, Inc. | Assisted Living Facility | 2000 5th St S, Arlington, VA 22204-1902 | 2016-04-20 |
| 1629476650 | God's Missing Angel's LLC | Assisted Living Facility | 301 Croft Xing, Chesapeake, VA 23320-7006 | 2014-12-08 |
| 1518133115 | Living Waters Care of Staunton | Assisted Living Facility | 403 N Coalter St, Staunton, VA 24401-3464 | 2008-05-02 |
| 1154501534 | Kidspeace National Centers of North America, Inc. | Assisted Living Facility | 5100 Leesburg Pike, Suite 302, Alexandria, VA 22302-1000 | 2007-11-14 |
| 1881813517 | Smith's Home for Adults | Assisted Living Facility | 16069 Martinsville Hwy, Axton, VA 24054-1973 | 2007-04-24 |
| 1548879729 | The Ataveus Cash Legacy Foundation | Assisted Living Facility | 8527 Orcutt Ave, Newport News, VA 23605-1417 | 2020-07-23 |
| Find all providers with the same taxonomy | ||||
| City | TIMBERVILLE |
| Zip Code | 22853 |
Please comment or provide details below to improve the information on LIVING WATERS - TIMBERVILLE.
| Data Provider | Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES) |
| Jurisdiction | Medicare & Medicaid |
This dataset includes 5.44 million covered health care providers and all health plans and health care clearinghouses, registered with CMA NPPES. Each provider is registered with National Provider Identifier (NPI), full name, status, address, taxonomy, other identifiers, etc.