LIVING WATER PREVENTION PROGRAM FACILITY


Address: 959 Old Cookeville Rd, Sparta, TN 38583-5616
Phone: 9317388102

LIVING WATER PREVENTION PROGRAM FACILITY (NPI# 1184852048) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).

Provider Overview

Nation Provider ID (NPI) 1184852048
Entity Type Organization
Organization Name LIVING WATER PREVENTION PROGRAM FACILITY
Practice Address 959 Old Cookeville Rd
Sparta
TN 38583-5616
Practice Telephone 9317388102
Mailing Telephone 9317388102
Enumeration Date 2009-06-30
Last Update Date 2009-06-30
Authorized Official Name LINDA CASKEY (SEC-TREAS)
Authorized Official Telephone 9317388102
Is Organization Subpart Y
Parent Organization Name VOLUNTEER CHRISTIAN ACADEMY INC

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QM0801X Clinic/Center
Specialization: Mental Health (Including Community Mental Health Center)
I000000004501 TN Ambulatory Health Care Facilities

Office Location

Street Address 959 OLD COOKEVILLE RD
City SPARTA
State TN
Zip Code 38583-5616

Providers in the same location

NPI Name Taxonomy Address Enumeration
1760487078 Allied Home Medical Inc Durable Medical Equipment & Medical Supplies 959 Old Cookeville Rd, Sparta, TN 38583-5616 2005-06-15
1932644101 Volunteer Recovery Center Community/Behavioral Health 959 Old Cookeville Rd, Sparta, TN 38583-5616 2016-12-27
1528390408 Allied Home Medical Inc Durable Medical Equipment & Medical Supplies 959 Old Cookeville Rd, Sparta, TN 38583-5616 2010-02-03
1114171493 Allied Home Medical Inc Durable Medical Equipment & Medical Supplies 959 Old Cookeville Rd, Sparta, TN 38583-5616 2008-11-12

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Taxonomy Information

Taxonomy Code 261QM0801X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Mental Health (Including Community Mental Health Center)

Taxonomy Definition

Definition to come...

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1093046807 Sureshbabu Kurra Md LLC Clinic/Center 7 Hyde Park Pl, Sparta, NJ 07871-1152 2010-01-18
1245452739 Human Service Center of Southern Metro East Clinic/Center 104 Northtown Drive, Sparta, IL 62286 2007-05-03
1689036865 Scenic Bluffs Health Center, Inc. Clinic/Center 201 E Franklin St Rm B3, Sparta, WI 54656-1803 2016-03-25
1851671556 Human Services Center Clinic/Center 104 Northtown Rd, Sparta, IL 62286-1081 2011-08-25
1124265715 Center for Family Wellness Clinic/Center 48 Woodport Rd, Sparta, NJ 07871-2424 2009-01-19
1235171836 Gundersen Clinic, Ltd. Clinic/Center 1111 W Wisconsin St, Sparta, WI 54656 2006-06-11

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1104469931 Trailhead Treatment Center Clinic/Center 2607 Kingston Pike Ste 2, Knoxville, TN 37919-3336 2019-10-24
1801437785 Open Door Treatment Center Inc Clinic/Center 3622 Merritt St, Memphis, TN 38128-3734 2019-10-02
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1942854583 Mava Healthcare System LLC Clinic/Center 18230 Fm 1488 Suite 201, Magnolia, TN 77354 2019-08-01
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City SPARTA
Zip Code 38583

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Dataset Information

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.

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