LIVING WATERS HOSPICE LLC (NPI# 1922366947) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1922366947 |
| Entity Type | Organization |
| Organization Name | LIVING WATERS HOSPICE LLC |
| Practice Address |
3711 Us Highway 68 Golden Valley AZ 86413-7522 |
| Mailing Address |
4195 Highway 68 C-902 Golden Valley AZ 86413 |
| Practice Telephone | 9285659000 |
| Practice Fax Number | 9285659001 |
| Mailing Telephone | 9285659000 |
| Mailing Fax Number | 9285659001 |
| Enumeration Date | 2012-04-27 |
| Last Update Date | 2013-03-26 |
| Authorized Official Name | MR. RANDY DENHAM (VICE PRESIDENT) |
| Authorized Official Telephone | 9285659000 |
| Authorized Official Credential | MSW |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251G00000X | Hospice Care, Community Based | Agencies |
| Street Address |
3711 US HIGHWAY 68 |
| City | GOLDEN VALLEY |
| State | AZ |
| Zip Code | 86413-7522 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1982248399 | Barbara Frazey | Licensed Practical Nurse | 3404 Santa Maria Rd., Golden Valley, AZ 86413 | 2019-10-30 |
| 1356626063 | Erin Reiman | Registered Nurse | 3404 Santa Maria, Black Mountain Elementary, Golden Valley, AZ 86413 | 2011-10-13 |
| 1689716987 | John Randolph Scott | Dentist | 4626 W. English Dr., Az Dept. of Corrections - Kingman, Golden Valley, AZ 86413 | 2007-02-13 |
| 1972527836 | Charles R Lindsay | Family Medicine | 4263 Hwy 68, Ste C, Golden Valley, AZ 86413 | 2006-07-26 |
| 1073139572 | Alison Nichole Delk-peck | Specialist/Technologist | 4995 Us Highway 68, Golden Valley, AZ 86413-5500 | 2020-06-19 |
| 1699830919 | Beulah K Kliment | Assisted Living Facility | 5080 Oatman Rd, Golden Valley, AZ 86413-7600 | 2006-12-27 |
| 1750526653 | Comprehensive Health Services | General Practice | 2675 W Oatman Rd, Golden Valley, AZ 86413-7701 | 2008-12-05 |
| 1699100552 | Elizabeth Gallion | Counselor | 4626 W English Dr, Golden Valley, AZ 86413-8238 | 2013-09-11 |
| 1558675496 | Valley Medical Medical Center LLC | Family Medicine | 4263 Hwy 68 Ste C, Golden Valley, AZ 86413-8569 | 2010-08-03 |
| 1831305861 | Wilfred J Radler | Family Medicine | 4263 Highway 68, Ste C, Golden Valley, AZ 86413-8569 | 2007-05-15 |
| Find all providers in zip 86413 | ||||
| Taxonomy Code | 251G00000X |
| Grouping | Agencies |
| Classification | Hospice Care, Community Based |
| Definition to come... |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1003958687 | Nightingale Hospice Cae of Minnesota Inc | Hospice Care, Community Based | 8085 Wayzata Blvd Ste 105, Golden Valley, MN 55426-1456 | 2007-02-12 |
| 1053865659 | Guardian Hospice Mn LLC | Hospice Care, Community Based | 820 Lilac Dr N, Golden Valley, MN 55422-4700 | 2016-08-11 |
| 1891083366 | Covenanthome Services | Hospice Care, Community Based | 5800 Saint Croix Ave N, Golden Valley, MN 55422-4446 | 2011-07-18 |
| 1023302841 | Golden Valley Home Care | Hospice Care, Community Based | 4725 Olson Memorial Hwy, Golden Valley, MN 55422-5143 | 2011-06-09 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1629677224 | In My Home Hospice Care | Hospice Care, Community Based | 1204 E Baseline Rd Ste 101, Tempe, AZ 85283-1447 | 2020-10-23 |
| 1295334282 | Aventus Hospice Care Inc | Hospice Care, Community Based | 1 S Church Ave # 12001253, Tucson, AZ 85701-1612 | 2020-10-20 |
| 1659970648 | Avra Hospice Care Inc | Hospice Care, Community Based | 1 S Church Ave # 12001255, Tucson, AZ 85701-1612 | 2020-10-20 |
| 1437758885 | Legacy Hospice Care LLC | Hospice Care, Community Based | 7725 N 43rd Ave Ste 611, Phoenix, AZ 85051-5770 | 2020-10-17 |
| 1396351235 | Catalina Hospice | Hospice Care, Community Based | 225 W Ajo Way, Tucson, AZ 85713-6038 | 2020-09-16 |
| 1588279673 | Centra Management Services LLC | Hospice Care, Community Based | 4530 E Shea Blvd Ste 142, Phoenix, AZ 85028-6067 | 2020-09-15 |
| 1407461643 | Kind Hearts Hospice, Inc. | Hospice Care, Community Based | 10210 N 32nd St Ste 215, Phoenix, AZ 85028-3848 | 2020-09-14 |
| 1104435379 | Nana Hope Hospice North LLC | Hospice Care, Community Based | 609 W Gurley St Ste 1, Prescott, AZ 86305-3619 | 2020-07-23 |
| 1104434141 | First Choice Hospice LLC | Hospice Care, Community Based | 1738 E Thomas Rd, Phoenix, AZ 85016-7604 | 2020-07-15 |
| 1538787122 | Nana Hope Hospice and Palliative Care LLC | Hospice Care, Community Based | 1620 N 48th St Ste 101, Phoenix, AZ 85008-7720 | 2020-07-09 |
| Find all providers with the same taxonomy | ||||
| City | GOLDEN VALLEY |
| Zip Code | 86413 |
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| 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.