Waters' Provider Care Services, Inc.
NPI 1629118013 · Intellectual and/or Developmental Disabilities Residential Treatment Facility · La Grange, NC
Waters' Provider Care Services, Inc. is a Intellectual and/or Developmental Disabilities Residential Treatment Facility organization in La Grange, NC (NPI 1629118013).
Provider details
- NPI number
- 1629118013
- Entity type
- Organization
- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityResidential Treatment Facilities
- Organization subpart
- No
- Authorized official
- John Waters, Secretary - Treasurer(252) 566-3600
- License
- MHL-054-124 (NC)
Specialties & taxonomies
- Intellectual and/or Developmental Disabilities Residential Treatment FacilityPrimary320600000XLicense MHL-054-124 (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
- 2007-02-07
- Last updated
- 2020-08-22
Frequently asked questions
- What is Waters' Provider Care Services, Inc.'s NPI number?
- Waters' Provider Care Services, Inc.'s National Provider Identifier (NPI) is 1629118013, a unique 10-digit ID issued by CMS for use in standard healthcare transactions.
- What type of organization is Waters' Provider Care Services, Inc.?
- Waters' Provider Care Services, Inc. is classified in the NPPES registry as Intellectual and/or Developmental Disabilities Residential Treatment Facility (Residential Treatment Facilities).
- Where is Waters' Provider Care Services, Inc. located?
- Waters' Provider Care Services, Inc.'s practice location on file with NPPES is 104 W James St, La Grange, NC 28551-1727.
- What is Waters' Provider Care Services, Inc.'s phone number?
- The practice phone number listed in the NPPES registry for Waters' Provider Care Services, Inc. is (252) 566-3600.
- Who is the authorized official for Waters' Provider Care Services, Inc.?
- The authorized official listed on Waters' Provider Care Services, Inc.'s NPPES record is John Waters, Secretary - Treasurer. The authorized official registers and maintains the organization's NPI and is not necessarily its owner.
- Is Waters' Provider Care Services, Inc.'s NPI active?
- Yes — Waters' Provider Care Services, Inc.'s NPI (1629118013) 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.