OrganizationActive
Living Waters Cds, LLC
NPI 1518408939 · Home Health Agency · Black Jack, MO
Living Waters Cds, LLC is a Home Health Agency organization in Black Jack, MO (NPI 1518408939).
Provider details
- NPI number
- 1518408939
- Entity type
- Organization
- Primary specialty
- Home Health AgencyAgencies
- Organization subpart
- No
- Authorized official
- Alvia Carroll, Owner/Manager(314) 540-5238
Specialties & taxonomies
Agencies
Profile Score
Established profile(70/100 index)
A profile completeness & documented-activity index — NOT a quality, outcomes, or patient-satisfaction rating.
- Registry tenure38% of score
9 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
12632 Broadridge Ln
Black Jack, MO 63033-4604
Phone: (314) 540-5238
Street-level locationGet directions
Mailing address
12632 Broadridge Ln
Black Jack, MO 63033-4604
Registry dates
- Enumerated
- 2017-03-17
- Last updated
- 2017-03-17
Frequently asked questions
- What is Living Waters Cds, LLC's NPI number?
- Living Waters Cds, LLC's National Provider Identifier (NPI) is 1518408939, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Living Waters Cds, LLC?
- Living Waters Cds, LLC is classified in the NPPES registry as Home Health Agency (Agencies).
- Where is Living Waters Cds, LLC located?
- Living Waters Cds, LLC's practice location on file with NPPES is 12632 Broadridge Ln, Black Jack, MO 63033-4604.
- What is Living Waters Cds, LLC's phone number?
- The practice phone number listed in the NPPES registry for Living Waters Cds, LLC is (314) 540-5238.
- Who is the authorized official for Living Waters Cds, LLC?
- The authorized official listed on Living Waters Cds, LLC's NPPES record is Alvia Carroll, Owner/Manager. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Living Waters Cds, LLC's NPI active?
- Yes — Living Waters Cds, LLC's NPI (1518408939) is active in the NPPES registry as of the last update on 2017-03-17.
Source: CMS NPPES Data Dissemination (June 2026). NPI Central is not affiliated with CMS. Data is provided as-is from the public registry.