Living Waters Group Home #2
NPI 1487890380 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · Parkton, NC
Living Waters Group Home #2 is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in Parkton, NC (NPI 1487890380).
Provider details
- NPI number
- 1487890380
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Parent organization
- Living Water Group Home #2
- Organization subpart
- Yes
- Authorized official
- Beverly Ealy, Director(910) 717-6127
- License
- MHL-078-219 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL-078-219 (NC)
Residential Treatment Facilities
Profile Score
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
17 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
- 2008-12-23
- Last updated
- 2008-12-23
Frequently asked questions
- What is Living Waters Group Home #2's NPI number?
- Living Waters Group Home #2's National Provider Identifier (NPI) is 1487890380, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Waters Group Home #2?
- Living Waters Group Home #2 is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Living Waters Group Home #2 located?
- Living Waters Group Home #2's practice location on file with NPPES is 1264 Davis Bridge Rd, Parkton, NC 28371-9621.
- What is Living Waters Group Home #2's phone number?
- The practice phone number listed in the NPPES registry for Living Waters Group Home #2 is (910) 858-1403.
- Who is the authorized official for Living Waters Group Home #2?
- The authorized official listed on Living Waters Group Home #2's NPPES record is Beverly Ealy, Director. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Waters Group Home #2's NPI active?
- Yes — Living Waters Group Home #2's NPI (1487890380) is active in the NPPES registry as of the last update on 2008-12-23.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.