LIVING WATER COMMUNITY DEVELOPMENT CORPORATION, INC (NPI# 1881757938) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1881757938 |
| Entity Type | Organization |
| Organization Name | LIVING WATER COMMUNITY DEVELOPMENT CORPORATION, INC |
| Practice Address |
3906 Hickory Grove Rd Mount Holly NC 28120-9618 |
| Mailing Address |
Po Box 267 Mount Holly NC 28120-0267 |
| Practice Telephone | 7048223004 |
| Practice Fax Number | 7048276031 |
| Mailing Telephone | 7048223004 |
| Mailing Fax Number | 7048276031 |
| Enumeration Date | 2006-12-19 |
| Last Update Date | 2020-08-22 |
| Authorized Official Name | DR. ANDREA LENOR GOODING (CEO) |
| Authorized Official Telephone | 7048223004 |
| Authorized Official Credential | PHD |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| Y | 251B00000X | Case Management | NC | Agencies |
| State | Issuer | Identifier | Type Code |
|---|---|---|---|
| NC | 8700401 | 05 |
| Street Address |
3906 HICKORY GROVE RD |
| City | MOUNT HOLLY |
| State | NC |
| Zip Code | 28120-9618 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1851775027 | Wesley Marsh | Dentist | 176 Palomino Trl, Mt Holly, NC 28120 | 2015-07-16 |
| 1407094642 | Kelly Lee Coney Pacious | Physical Therapist | 328 Whippoorwill Lane, Mount Holly, NC 28120 | 2009-01-26 |
| 1427183979 | Touched By Angels Home Healthcare, Inc. | Home Health | 16 Oak Grove St, Mt Holly, NC 28120 | 2007-02-23 |
| 1417052119 | Andrew Rogers Oblinger | Dentist | 247 W Catawba Ave, Mt Holly, NC 28120 | 2006-09-14 |
| 1437648334 | Moose Pharmacy of Mt Holly LLC | Durable Medical Equipment & Medical Supplies | 125 W Central Ave, Mount Holly, NC 28120 | 2018-05-07 |
| 1104898634 | Michael Alson Smith | Family Medicine | 305 W Catawba Ave, Mount Holly, NC 28120 | 2006-02-07 |
| 1972642049 | Woodlawn Haven, Inc | Assisted Living Facility | 301 Craig St, Mount Holly, NC 28120-1265 | 2007-02-06 |
| 1306455126 | A Place 4 Me, LLC | Community Based Residential Treatment, Mental Retardation and/or Developmental Disabilities | 5305 Clearwater Lake Rd, Mount Holly, NC 28120-1445 | 2020-07-28 |
| 1487946380 | Monica K Rendon | Specialist | 320 Langhorne Dr, Mt Holly, NC 28120-1452 | 2011-05-10 |
| 1033750674 | Amanda Marie Antczak | Counselor | 129 Maggie Dr, Mount Holly, NC 28120-1486 | 2019-10-04 |
| Find all providers in zip 28120 | ||||
| Taxonomy Code | 251B00000X |
| Grouping | Agencies |
| Classification | Case Management |
| An organization that is responsible for providing case management services. The agency provides services which assist an individual in gaining access to needed medical, social, educational, and/or other services. Case management services may be used to locate, coordinate, and monitor necessary appropriate services. It may be used to encourage the use of cost-effective medical care by referrals to appropriate providers and to discourage over utilization of costly services. Case management may also serve to provide necessary coordination of non-medical services such as vocational rehabilitation, education, employment, when the services provided enable the individual to function at the highest level. |
| Notes: Source: CMS State Medicaid Manual Section 4442.3 [7/1/2006: definition modified] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1770921793 | Solutions for U | Case Management | 158 Ashurst Ln, Mount Holly, NJ 08060-1237 | 2013-06-12 |
| 1598978397 | Burlington County Office On Aging | Case Management | 49 Rancocas Rd, Mount Holly, NJ 08060-1317 | 2007-05-08 |
| 1952431900 | Crossroads Programs | Case Management | 15 Washington St, Disc, Mount Holly, NJ 08060-1734 | 2007-03-07 |
| 1548747314 | Crossroads Programs, Inc. | Case Management | 15 Washington St, Mount Holly, NJ 08060-1734 | 2018-07-25 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1316548084 | Carolina Bridges Home Health | Case Management | 8410 Six Forks Rd Ste 104, Raleigh, NC 27615-3079 | 2020-11-07 |
| 1861008179 | Maggie Janes LLC | Case Management | 3004 Hillmer Dr, Raleigh, NC 27609-7810 | 2020-09-22 |
| 1245846294 | Tamekia Dowdy | Case Management | 845 Mckoy Town Rd, Cameron, NC 28326-9619 | 2020-09-16 |
| 1467067785 | Knox Counseling and Consulting, PC | Case Management | 513 New Bridge St-suite 500, Jacksonville, NC 28540 | 2020-09-14 |
| 1700499944 | Goal Digger Network LLC | Case Management | 5220 Delco St, Fayetteville, NC 28311-2332 | 2020-08-27 |
| 1598377731 | Lux Glamorous Wigs & Company | Case Management | 1237 Tyvola Dr # Rd, Charlotte, NC 28210-3870 | 2020-08-19 |
| 1588275432 | Green Life Enhancement Services | Case Management | 1220 Aragon Dr Apt 101, Knightdale, NC 27545-6027 | 2020-08-13 |
| 1629688122 | Aketre Whitaker | Case Management | 526 Coker Town Rd, Whitakers, NC 27891-8942 | 2020-08-09 |
| 1912517046 | Coastal Community Services, LLC | Case Management | 138 Turquoise Dr, Jacksonville, NC 28546-8757 | 2020-08-04 |
| 1700494903 | Reimagine Billing Concepts LLC | Case Management | 9816 Cockerham Ln, Huntersville, NC 28078-2737 | 2020-07-14 |
| Find all providers with the same taxonomy | ||||
| City | MOUNT HOLLY |
| Zip Code | 28120 |
Please comment or provide details below to improve the information on LIVING WATER COMMUNITY DEVELOPMENT CORPORATION, INC.
| 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.