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JANEATHA WATERS
NPI 1063968774
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Flint, MI

Active since September 01, 2016
1110 ELDON BAKER DR, FLINT, MI 48507(810) 743-3134 Get Directions Write a Review

NPPES record last updated: September 1, 2016. Verified against the NPPES registry weekly; last sync: August 16, 2026.

About Janeatha Waters NPPES

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

JANEATHA WATERS (NPI 1063968774) is an individual residential treatment facility, intellectual and/or developmental disabilities provider in Flint, Michigan and active in the NPI registry since September 2016.

NPPES Registry Identity

NPI1063968774
Entity TypeIndividualFemale
Primary Taxonomy320600000X
Provider Legal NameJANEATHA WATERS
Location Address1110 ELDON BAKER DRFlint, MI 48507
Mailing Address1110 Eldon Baker DrFlint, MI 48507 · (810) 743-3134
Phone(810) 743-3134
Sole ProprietorYes
Enumeration DateSeptember 1, 2016
✔ NPI 1063968774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesResidential Treatment Facilities
Taxonomy Code320600000X
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
1110 ELDON BAKER DR, Flint, MI 48507
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Other Providers at the Same Location NPPES 20

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

GREG KUEHLEWIND
Social Worker
1110 ELDON BAKER DR
FLINT, MI 48507
Genesee County (810) 232-2766
MAURICE DENSON I
Social Worker
1110 ELDON BAKER DR
FLINT, MI 48507
Genesee County (810) 232-2766
NADINE HARRIS
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
1110 ELDON BAKER DR
FLINT, MI 48507
Genesee County (810) 742-3134
MARTELL LEE
Case Manager/Care Coordinator
1110 ELDON BAKER DR
FLINT, MI 48507
Genesee County (810) 553-7418
MR. RONALD PHILLIP ROLAND II LLMSW
Social Worker (Clinical)
1110 ELDON BAKER DR
FLINT, MI 48507
Genesee County (810) 742-3134
TY'TEANA THOMAS
Psychologist (Intellectual and Developmental Disabilities)
1110 ELDON BAKER DR
FLINT, MI 48507
Genesee County (810) 743-3134
JAMIE ZUNIGA REGISTERED NURSE
Registered Nurse (Psychiatric/Mental Health, Adult)
1110 ELDON BAKER DR
FLINT, MI 48507
Genesee County (810) 213-0015
SARAH LEDTKE-RAGAN LLBSW
Case Manager/Care Coordinator
1110 ELDON BAKER DR
FLINT, MI 48507
Genesee County (616) 301-8000

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 Janeatha Waters's NPI number?

The NPI number for Janeatha Waters is 1063968774. It was assigned to this individual provider in the NPPES registry on September 1, 2016.

Where is Janeatha Waters located?

Janeatha Waters practices at 1110 Eldon Baker Dr, Flint, MI 48507. The listed phone number is (810) 743-3134.

What is Janeatha Waters's specialty?

The primary specialty registered for this NPI is Residential Treatment Facility, Intellectual and/or Developmental Disabilities with taxonomy code 320600000X.

When was this NPI record last updated?

The NPPES record for Janeatha Waters was last updated on September 1, 2016. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 9 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.