LIVING WATERS GROUP HOME
NPI 1013145614
Community/Behavioral Health in Fayetteville, NC

Active since June 23, 2009
8383 CLIFFDALE RD, FAYETTEVILLE, NC 28314(910) 717-6127(910) 339-1844 Get Directions Write a Review

NPPES record last updated: June 23, 2009. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Living Waters Group Home NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

LIVING WATERS GROUP HOME (NPI 1013145614) is a healthcare organization registered as a community/behavioral health in Fayetteville, North Carolina and active in the NPI registry since June 2009. The organization lists Beverly Ann Ealy, Director, as its authorized official.

NPPES Registry Identity

NPI1013145614
Entity TypeOrganization
Primary Taxonomy251S00000X
Legal Business NameLIVING WATERS GROUP HOME
Location Address8383 CLIFFDALE RDFayetteville, NC 28314-5853
Mailing Address8383 Cliffdale RdFayetteville, NC 28314-5853 · (910) 717-6127 · Fax (910) 339-1844
Fax(910) 339-1844
Organization SubpartNo
Authorized OfficialBeverly Ann EalyDirector · (910) 717-6127
Enumeration DateJune 23, 2009
NPI 1013145614 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

Primary SpecialtyCommunity/Behavioral HealthAgencies
Taxonomy Code251S00000X
Definition
A private or public agency usually under local government jurisdiction, responsible for assuring the delivery of community based mental health, intellectual disabilities, substance abuse and/or behavioral health services to individuals with those disabilities. Services may range from companion care, respite, transportation, community integration, crisis intervention and stabilization, supported employment, day support, prevocational services, residential support, therapeutic and supportive consultation, environmental modifications, intensive in-home therapy and day treatment, in addition to traditional mental health and behavioral treatment.
8383 CLIFFDALE RD, Fayetteville, NC 28314

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Living Waters Group Home's NPI number?

The NPI number for Living Waters Group Home is 1013145614. It was assigned to this organization in the NPPES registry on June 23, 2009.

Where is Living Waters Group Home located?

Living Waters Group Home is located at 8383 Cliffdale Rd, Fayetteville, NC 28314. The listed phone number is (910) 717-6127.

What is Living Waters Group Home's specialty?

The primary specialty registered for this NPI is Community/Behavioral Health with taxonomy code 251S00000X.

When was this NPI record last updated?

The NPPES record for Living Waters Group Home was last updated on June 23, 2009. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 17 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.