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WATERS' PROVIDER CARE SERVICES, INC.
NPI 1629118013
Residential Treatment Facility, Intellectual and/or Developmental Disabilities in La Grange, NC

Active since February 07, 2007
104 W JAMES ST, LA GRANGE, NC 28551(252) 566-3600 Get Directions Write a Review

NPPES record last updated: August 22, 2020. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Waters' Provider Care Services, Inc. NPPES

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

WATERS' PROVIDER CARE SERVICES, INC. (NPI 1629118013) is a healthcare organization registered as a residential treatment facility, intellectual and/or developmental disabilities in La Grange, North Carolina and active in the NPI registry since February 2007. The organization lists John Eric Waters, Secretary - Treasurer, as its authorized official.

NPPES Registry Identity

NPI1629118013
Entity TypeOrganization
Primary Taxonomy320600000X
Legal Business NameWATERS' PROVIDER CARE SERVICES, INC.
Location Address104 W JAMES STLa Grange, NC 28551-1727
Mailing Address104 W James StLa Grange, NC 28551-1727 · (252) 566-3600
Phone(252) 566-3600
Organization SubpartNo
Authorized OfficialJohn Eric WatersSecretary - Treasurer · (252) 566-3600
Enumeration DateFebruary 7, 2007
Last NPPES UpdateAugust 22, 2020
✔ NPI 1629118013 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-054-124
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.
104 W JAMES ST, La Grange, NC 28551
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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 Waters' Provider Care Services, Inc.'s NPI number?

The NPI number for Waters' Provider Care Services, Inc. is 1629118013. It was assigned to this organization in the NPPES registry on February 7, 2007.

Where is Waters' Provider Care Services, Inc. located?

Waters' Provider Care Services, Inc. is located at 104 W James St, La Grange, NC 28551. The listed phone number is (252) 566-3600.

What is Waters' Provider Care Services, Inc.'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 Waters' Provider Care Services, Inc. was last updated on August 22, 2020. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 5 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.