Living Waters Group Home
NPI 1447390042 · Emotionally Disturbed Childrens' Residential Treatment Facility · Fayetteville, NC
Living Waters Group Home is a Emotionally Disturbed Childrens' Residential Treatment Facility organization in Fayetteville, NC (NPI 1447390042).
Provider details
- NPI number
- 1447390042
- Entity type
- Organization
- Primary specialty
- Emotionally Disturbed Childrens' Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- Beverly Ealy, Residential Director(910) 717-6127
- License
- MHL 026-796 (NC)
Specialties & taxonomies
- Emotionally Disturbed Childrens' Residential Treatment FacilityPrimary322D00000XLicense MHL 026-796 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
19 yrs in NPPES registry
- Profile completeness38% of score
100% of core fields populated
- Practice footprint23% of score
1 documented practice location
Signals a provider has no public data for (e.g. Medicare claims) are left out of the score entirely — never counted as zero — so providers without that data are not penalized. See the full formula and weights in our methodology.
Practice location
Mailing address
Registry dates
- Enumerated
- 2007-02-06
- Last updated
- 2020-08-22
Frequently asked questions
- What is Living Waters Group Home's NPI number?
- Living Waters Group Home's National Provider Identifier (NPI) is 1447390042, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Waters Group Home?
- Living Waters Group Home is classified in the NPPES registry as Emotionally Disturbed Childrens' Residential Treatment Facility (Residential Treatment Facilities).
- Where is Living Waters Group Home located?
- Living Waters Group Home's practice location on file with NPPES is 1609 Sweetgum Cir, Fayetteville, NC 28304-2707.
- What is Living Waters Group Home's phone number?
- The practice phone number listed in the NPPES registry for Living Waters Group Home is (910) 867-3279.
- Who is the authorized official for Living Waters Group Home?
- The authorized official listed on Living Waters Group Home's NPPES record is Beverly Ealy, Residential Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Waters Group Home's NPI active?
- Yes — Living Waters Group Home's NPI (1447390042) is active in the NPPES registry as of the last update on 2020-08-22.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.