LIVING WATER HEALTH AND WELLNESS LLC (NPI# 1902349335) is a health care provider registered in Centers for Medicare & Medicaid Services (CMS), National Plan and Provider Enumeration System (NPPES).
| Nation Provider ID (NPI) | 1902349335 |
| Entity Type | Organization |
| Organization Name | LIVING WATER HEALTH AND WELLNESS LLC |
| Practice Address |
2636 Wade Rd Se Apt 11 Washington DC 20020-5906 |
| Mailing Address |
6300 Grenfell Ct Bowie MD 20720-5331 |
| Practice Telephone | 2024606876 |
| Mailing Telephone | 2024606876 |
| Enumeration Date | 2016-12-03 |
| Last Update Date | 2018-01-15 |
| Authorized Official Name | MS. STEPHANIE THOMAS (CEO) |
| Authorized Official Telephone | 2024606876 |
| Is Organization Subpart | N |
| Primary | Taxonomy Code | Classification | License Number | License State | Taxonomy Group |
|---|---|---|---|---|---|
| N | 225500000X | Specialist/Technologist | Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| N | 2255A2300X |
Specialist/Technologist Specialization: Athletic Trainer |
Respiratory, Developmental, Rehabilitative and Restorative Service Providers | ||
| Y | 261QD1600X |
Clinic/Center Specialization: Developmental Disabilities |
Ambulatory Health Care Facilities |
| Street Address |
2636 WADE RD SE APT 11 |
| City | WASHINGTON |
| State | DC |
| Zip Code | 20020-5906 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1275949513 | Malik Vanterpool | Massage Therapist | 2636 Wade Rd Se Apt 11, Washington, DC 20020-5906 | 2014-07-08 |
| 1205496270 | Connecting With Communities | Clinic/Center | 2636 Wade Rd Se Apt 11, Washington, DC 20020-5906 | 2019-06-20 |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1043834294 | Monique Holland | Community Health Worker | 3001 O Street Se, Washington, DC 20020 | 2020-06-03 |
| 1215566708 | Ryan Wright | Counselor | Integrated Behavioral Solutions Group Inc., 3200 S St. S.e., Washington, DC 20020 | 2020-04-06 |
| 1316581002 | Kamara King | Hospitalist | 2754 Bruce Pl Se, Washington, DC 20020 | 2019-11-05 |
| 1639720394 | Denise Anderson | Technician | 2401 Bryan Pl S.e, Washington, DC 20020 | 2019-09-24 |
| 1629628664 | Rayniece Ann Johnson | Technician | 1641 W.st Se #303, Washington, DC 20020 | 2019-09-11 |
| 1780245787 | Connie Kitchings | Technician | 2800 Shipley Terrace Se, Washington, DC 20020 | 2019-06-21 |
| 1922560366 | Neka Ramsey-lee | Counselor | Anacostia Community Health Center, 1500 Galen Street, Se, Washington, DC 20020 | 2019-04-04 |
| 1750843553 | Chloe Rebecca Zaitlin | Psychologist | 2600 Douglass Rd. Se, Washington, DC 20020 | 2019-04-02 |
| 1356814974 | Ferris Antwan Alston | Technician | 2100 Mlk Jr Ave S.e., Suite#100, Washington, DC 20020 | 2019-01-07 |
| 1083182471 | Aaron Joshua Jones | Technician | 1432 T Street Se, 1432 T Street Se, Washington, DC 20020 | 2018-11-05 |
| Find all providers in zip 20020 | ||||
| Taxonomy Code | 261QD1600X |
| Grouping | Ambulatory Health Care Facilities |
| Classification | Clinic/Center |
| Specialization | Developmental Disabilities |
| An entity, facility, or distinct part of a facility providing comprehensive, multidiscipline diagnostic, treatment, therapy, training, and counseling services to children with congenital disorders that precipitate developmental delays and in many instances mental deficiencies (e.g., Cerebral Palsy, metabolic disorders, Sturge-Weber Syndrome, etc.). |
| Notes: [7/1/2003: new] |
| NPI | Name | Taxonomy | Address | Enumeration |
|---|---|---|---|---|
| 1558999896 | Our Emmanuel Lnc | Clinic/Center | 2301 Georgia Ave Nw Ste D, Washington, DC 20001-3000 | 2020-03-31 |
| 1477015154 | Muse Day Services LLC | Clinic/Center | 7600 Georgia Ave Nw Ste 217, Washington, DC 20012-1616 | 2019-04-02 |
| 1336611011 | Khane Care Inc | Clinic/Center | 1717 N St Nw Ste 1, Washington, DC 20036-2827 | 2018-12-19 |
| 1881848356 | Pmf Care LLC | Clinic/Center | 4230 Eads St Ne, Washington, DC 20017 | 2008-11-11 |
| 1336207927 | Nursing Unlimited Services, Inc. | Clinic/Center | 1328 G St Se, Washington, DC 20003-3021 | 2006-12-05 |
| 1831725365 | Rose House LLC | Clinic/Center | 1118 Galloway St Ne, Washington, DC 20011-6424 | 2020-03-16 |
| 1154983401 | Kingsbury Wellness and Learning Group | Clinic/Center | 5000 14th St Nw, Washington, DC 20011-6926 | 2019-07-07 |
| 1205496270 | Connecting With Communities | Clinic/Center | 2636 Wade Rd Se Apt 11, Washington, DC 20020-5906 | 2019-06-20 |
| 1508070251 | Psi Services IIi, Inc | Clinic/Center | 5820 Dix St Ne, Washington, DC 20019-6965 | 2007-05-10 |
| 1013044668 | Brookland Senior Day Care Center, Inc. | Clinic/Center | 6210 Chillum Pl Nw, Washington, DC 20011-1400 | 2007-02-28 |
| Find all providers in WASHINGTON | ||||
| City | WASHINGTON |
| Zip Code | 20020 |
Please comment or provide details below to improve the information on LIVING WATER HEALTH AND WELLNESS 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.