LIVING WATERS HOME CARE LLC DBA SERVICES UNLIMITED NPI 1063550762

NPI Information

  • NPI: 1063550762
  • Provider Name: LIVING WATERS HOME CARE LLC DBA SERVICES UNLIMITED
  • Classification: Nurse's Aide - 376K00000X
  • Entity Type: Organization
  • Address: 170 MEMORIAL PARK DR
    SPARTA, NC
    ZIP 28675
  • Phone: (336) 372-5150

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NPI Details

LIVING WATERS HOME CARE LLC DBA SERVICES UNLIMITED is a nurses aide in Sparta, NC. The provider is (1) An unlicensed individual who is trained to function in an assistive role to the licensed nurse in the provision of patient/client activities as delegated by the nurse; (2) An individual trained (either on-the-job or through a formal course generally of less than one year) and experienced in performing patient or client-care nursing tasks that do not require the skills of a specialist, technician, or professional. Examples of tasks performed by nurses aides include changing clothes, diapers, and beds; assisting patients to perform exercises or personal hygiene tasks, and supporting communication or social interaction. Specific education and credentials are not required for this work. LIVING WATERS HOME CARE LLC DBA SERVICES UNLIMITED NPI is 1063550762. The provider is registered as an organization entity type and is a multi-specialty group.

The provider's business location address is:

170 MEMORIAL PARK DR
SPARTA, NC
ZIP 28675-703
Phone: (336) 372-5150
Fax: (336) 372-1838

The provider's authorized official is John W Joines .
The authorized official title is Director and has the following contact phone number (336) 372-5150.

The enumeration date for this NPI number is 2/2/2007 and was last updated on 8/20/2014.

Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No. Taxonomy Code Taxonomy Clasification Taxonomy Specialization License Number License State Primary
1372500000XChore ProviderHC1588NORTH CAROLINANo
2372600000XAdult CompanionHC1588NORTH CAROLINANo
3373H00000XDay Training/Habilitation SpecialistHC1588NORTH CAROLINANo
43747A0650XTechnicianAttendant Care ProviderHC1588NORTH CAROLINANo
53747P1801XTechnicianPersonal Care AttendantHC1588NORTH CAROLINANo
6376J00000XHomemakerHC1588NORTH CAROLINANo
7253Z00000XIn Home Supportive CareNo
8376K00000XNurse's AideHC1588NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No. Other Provider Identifier Other Provider Identifier Type Other Provider Identifier State Other Provider Identifier Issuer
16600622MEDICAIDNORTH CAROLINA
23409072MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 3/30/2025

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