THE WATERS SENIOR LIVING MANAGEMENT LLC (NPI# 1821565946) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1821565946 |
| Entity Type | Organization |
| Organization Name | THE WATERS SENIOR LIVING MANAGEMENT LLC |
| Practice Address |
212 Fowler Rd Warrendale PA 15086-1126 |
| Mailing Address |
1600 Hopkins Xrd Minnetonka MN 55305-2026 |
| Practice Telephone | 7247998260 |
| Enumeration Date | 2018-10-26 |
| Last Update Date | 2018-11-28 |
| Authorized Official Name | TAMI KOZIKOWSKI (CHIEF OPERATING OFFICER) |
| Authorized Official Telephone | 9523585100 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 3747P1801X |
Technician Specialization: Personal Care Attendant |
Nursing Service Related Providers | ||
| Y | 3747A0650X |
Technician Specialization: Attendant Care Provider |
Nursing Service Related Providers |
| Address | Telephone Number | Fax Number |
|---|---|---|
| 210 Fowler Rd, Warrendale, PA 150861116 | 7247998260 |
| Street Address |
212 FOWLER RD |
| City | WARRENDALE |
| State | PA |
| Zip Code | 15086-1126 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1841637352 | Edward Szczypiorski | Pharmacist | 40 Pennwood Pl., Suite 200, Warrendale, PA 15086 | 2013-05-24 |
| 1225371255 | Eyetique Inc | Optometrist | 802a Warrendale Village Drive, 2nd Floor, Warrendale, PA 15086 | 2013-03-28 |
| 1861662769 | Andy Pin-kang Shieh | Dentist | 904 Warrendale Village Drive, Warrendale, PA 15086 | 2008-03-06 |
| 1619186343 | Vector Security Inc | Durable Medical Equipment & Medical Supplies | 100 Allegheny Dr, Suite 200, Warrendale, PA 15086 | 2007-05-21 |
| 1285846873 | Steve Treu | Counselor | 30 Warrendale-bayne Road, Pinewood Place, Suite #106, Warrendale, PA 15086 | 2007-05-04 |
| 1154318301 | Kci Usa, Inc. | Durable Medical Equipment & Medical Supplies | 357 Northgate Dr, Ste 4, Warrendale, PA 15086 | 2005-10-03 |
| 1356774343 | Alyssa Theresa Bowser | Pharmacist | 3000 Ericsson Dr Ste 100, Warrendale, PA 15086 | 2013-08-14 |
| 1275746125 | Kristen Mclaren Treu | Counselor | 30 Warrendale-bayne Road, Pinewood Place, Suite #106, Warrendale, PA 15086 | 2007-05-08 |
| 1083725964 | Jeffrey W Rockacy | Dentist | 101 Fowler Rd, Ste A, Warrendale, PA 15086-1114 | 2006-08-31 |
| 1558978213 | Krista Kaminski | Physical Therapist | 100 Fowler Rd Ste 40, Warrendale, PA 15086-1132 | 2020-09-28 |
| Find all providers in zip 15086 | ||||
| Taxonomy Code | 3747A0650X |
| Grouping | Nursing Service Related Providers |
| Classification | Technician |
| Specialization | Attendant Care Provider |
| An individual who provides hands-on care, of both a supportive and health related nature, specific to the needs of a medically stable, physically handicapped individual. Supportive services are those that substitute for the absence, loss, diminution, or impairment of a physical or cognitive function. This service may include skilled or nursing care to the extent permitted by state law. |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275130460 | Raushanah Jenkins | Technician | 2726 Spear Ave, Glenside, PA 19038-2617 | 2020-10-01 |
| 1477160422 | Christine Ann Terese Pearce | Technician | 122 Cobblestone Dr, Gilbertsville, PA 19525-8843 | 2020-09-24 |
| 1316579212 | Fabien D Auguste | Technician | 261 Old York Rd Ste 703b, Jenkintown, PA 19046-3735 | 2020-02-07 |
| 1487294062 | Agnes Odelia Strang | Technician | 18 Angerer Rd, Canonsburg, PA 15317 | 2020-01-10 |
| 1154968014 | Brenda L Scott | Technician | 711 Spring Garden St Apt 614, Philadelphia, PA 19123-3515 | 2019-12-10 |
| 1013552777 | Carli R Gaynor | Technician | 355 Jefferson St, Simpson, PA 18407-1213 | 2019-11-16 |
| 1093350175 | Ann Marie Gazey | Technician | 665 Waring St, Philadelphia, PA 19116-2043 | 2019-11-12 |
| 1932740537 | Janelle Doris Waller | Technician | 204 Kingston Dr., Pittsburgh, PA 15235 | 2019-10-04 |
| 1619518487 | Carmen Maria Carroll | Technician | 40 Herman St, Feasterville Trevose, PA 19053-2324 | 2019-10-03 |
| 1164063343 | Virginia Keohane | Technician | 355 Orchard Rd, Springfield, PA 19064-2318 | 2019-09-30 |
| Find all providers with the same taxonomy | ||||
| City | WARRENDALE |
| Zip Code | 15086 |
Please comment or provide details below to improve the information on THE WATERS SENIOR LIVING MANAGEMENT LLC.
| 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.