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LIVING WATERS GROUP HOME #2
NPI 1487890380
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in Parkton, NC

Active since December 23, 2008
1264 DAVIS BRIDGE RD, PARKTON, NC 28371(910) 858-1403(910) 339-1844 Get Directions Write a Review

NPPES record last updated: December 23, 2008. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Living Waters Group Home #2 NPPES

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

LIVING WATERS GROUP HOME #2 (NPI 1487890380) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in Parkton, North Carolina and active in the NPI registry since December 2008. The organization lists Beverly Ann Ealy, Director, as its authorized official.

NPPES Registry Identity

NPI1487890380
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameLIVING WATERS GROUP HOME #2
Location Address1264 DAVIS BRIDGE RDParkton, NC 28371-9621
Mailing Address8419 Cartman DrFayetteville, NC 28314-8419 · (910) 717-6127 · Fax (910) 339-1844
Phone(910) 858-1403
Fax(910) 339-1844
Organization SubpartYesParent: Living Water Group Home #2
Authorized OfficialBeverly Ann EalyDirector · (910) 717-6127
Enumeration DateDecember 23, 2008
✔ NPI 1487890380 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
License✔ Licensed in NC · MHL-078-219
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.
1264 DAVIS BRIDGE RD, Parkton, NC 28371
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Other Identifiers 1

Medicaid6603850NC

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 #2's NPI number?

The NPI number for Living Waters Group Home #2 is 1487890380. It was assigned to this organization in the NPPES registry on December 23, 2008.

Where is Living Waters Group Home #2 located?

Living Waters Group Home #2 is located at 1264 Davis Bridge Rd, Parkton, NC 28371. The listed phone number is (910) 858-1403.

What is Living Waters Group Home #2'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 Living Waters Group Home #2 was last updated on December 23, 2008. 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.