LIVING WATER SUPPORT SERVICES

Address: 4300 Forbes Blvd Ste 130, Lanham, MD 20706-4375
Phone: 2025599344

LIVING WATER SUPPORT SERVICES (NPI# 1376194324) 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) 1376194324
Entity Type Organization
Organization Name LIVING WATER SUPPORT SERVICES
Practice Address 4300 Forbes Blvd Ste 130
Lanham
MD 20706-4375
Mailing Address 8217 Kippis Rd
Millersville
MD 21108-1821
Practice Telephone 2025599344
Mailing Telephone 2024606876
Enumeration Date 2019-09-21
Last Update Date 2019-09-21
Authorized Official Name STEPHANIE THOMAS (PRESIDENT)
Authorized Official Telephone 2024606876
Is Organization Subpart N

Taxonomy

Primary Taxonomy Code Classification License Number License State Taxonomy Group
Y 261QD1600X Clinic/Center
Specialization: Developmental Disabilities
Ambulatory Health Care Facilities

Office Location

Street Address 4300 FORBES BLVD STE 130
City LANHAM
State MD
Zip Code 20706-4375

Providers in the same zip code

NPI Name Taxonomy Address Enumeration
1760046775 Ayesha Tappin Occupational Therapist 4200 Parliament Pl. Ste 550, Lanham, MD 20706 2019-04-24
1790240646 Himabindu Gangavarapu Vinodrao Nurse Practitioner 8118, Good Luck Road, Lanhham, MD 20706 2019-02-05
1538644943 Win Team, LLC Clinic/Center 10001 Derekwood Lane, Suite 210, Lanham, MD 20706 2018-10-02
1558846394 Brieana Moore Behavioral Analyst 4551 Parliament Place Suite A, Lanham, MD 20706 2018-09-27
1225511553 Melvis Afanwi Chi Home Health Aide 9861 Goodluck Rd, T1, Lanham, MD 20706 2018-09-12
1346722766 Elsie Clarke Nurse Practitioner 9470 Annapolis Road Suite 311, Lanham, MD 20706 2018-09-01
1821576141 Amie Da Silva Nurse Practitioner 5724 Edge Avenue, Lanham, MD 20706 2018-07-30
1033697313 Iyadunni Omolara Olukorede Home Health Aide 9789 Good Luck Rd Apt 9, Lanham, MD 20706 2018-07-30
1447741459 A Step Ahead Preventive and Holistic Wellness Center LLC Psychologist 4500 Forbes Blvd # 200-W12, Lanham, MD 20706 2018-05-24
1902394398 Ezekiel Kelechukwu Nwafor Home Health Aide 5447 85th Ave Apt 202, Lanham, MD 20706 2018-05-01
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Taxonomy Information

Taxonomy Code 261QD1600X
Grouping Ambulatory Health Care Facilities
Classification Clinic/Center
Specialization Developmental Disabilities

Taxonomy Definition

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]

Providers in the same taxonomy and city

NPI Name Taxonomy Address Enumeration
1629378864 The One World Center for Autism, Inc. Clinic/Center 7401 Forbes Blvd Ste A, Lanham, MD 20706 2010-10-21

Providers in the same taxonomy and state

NPI Name Taxonomy Address Enumeration
1316579873 Brightway Professionals and Associates Clinic/Center 4810 St.barnabas Rd, Suite 201, Temple Hills, MD 20748 2020-02-12
1821620881 Absolutecare Inc Clinic/Center 7515 Annapolis Rd Ste 409, Hyattsville, MD 20784-1752 2020-02-07
1689204653 Empowering Life Group LLP Clinic/Center 10410 Kensington Pkwy Ste 103, Kensington, MD 20895-2944 2020-01-18
1609437631 Assistic Care Services Inc. Clinic/Center 10117 Tulip Tree Dr, Bowie, MD 20721-3715 2019-06-20
1841854650 Silver Lining Residential of Maryland Clinic/Center 3944 Red Deer Cir, Randallstown, MD 21133-2047 2019-04-26
1376005413 Millenium Care, Inc Clinic/Center 806 Reisterstown Rd Ste 3, Pikesville, MD 21208-4214 2019-04-05
1033675897 Grace Residential Services, LLC Clinic/Center 4117 Brookside Oaks Road, Owings Mills, MD 21117 2019-02-18
1528569183 Ark of Rehabilitation Inc Clinic/Center 3450 Laurel Fort Meade Rd Ste 212, Laurel, MD 20724-2040 2018-02-27
1700061314 Lifeline, Inc Clinic/Center 5632 Annapolis Rd Ste 9, Bladensburg, MD 20710-2213 2008-01-02
1295841781 Rock Creek Foundation for Mental Health Inc Clinic/Center 12120 Plum Orchard Dr, Suite B, Silver Spring, MD 20904-7820 2006-08-21
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Competitor

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City LANHAM
Zip Code 20706

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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.