Cathedral Of Living Waters INC. DBA Living Waters Transport
Licensed Practical Nurse in Jersey City, New Jersey
1275497778- Practice location
- 254 Clinton Ave Apt 2, Jersey City, NJ 07304-1608
- Phone
- 917-830-2539
- Fax
- —
- Last updated
- December 10, 2025
Cathedral Of Living Waters INC. DBA Living Waters Transport is a healthcare organization based in Jersey City, NJ. Cathedral Of Living Waters INC. DBA Living Waters Transport practices in Jersey City, NJ. The NPI Number for Cathedral Of Living Waters INC. DBA Living Waters Transport is 1275497778. The current practice location address for Cathedral Of Living Waters INC. DBA Living Waters Transport is 254 Clinton Ave Apt 2, Jersey City, NJ 07304-1608 and can be reached out via phone at 917-830-2539.
Provider Profile Details
- NPI Number
- 1275497778
- Provider Name
- Cathedral Of Living Waters INC. DBA Living Waters Transport
- Provider Entity Type
- Organization
- Address
- 254 Clinton Ave Apt 2, Jersey City, NJ 07304-1608
- Phone Number
- 917-830-2539
- Primary Taxonomy
- Licensed Practical Nurse · 164W00000X
- Organization Subpart
- Yes
- Parent Organization
- Cathedral Of Living Waters INC.
- Authorized Official
- Tayana Alisha Thompson, REV, LPN PHD · Rev. · 917-830-5239
- Other Names
- Living Waters Transport (Other Name)
- Provider Enumeration Date
- December 10, 2025
- Last Update Date
- December 10, 2025
- Certification Date
- December 10, 2025
- NPI Status
- Active
Provider Business Practice Location Address Details
- Address
- 254 Clinton Ave Apt 2
Jersey City, NJ 07304-1608 - City
- Jersey City
- State
- New Jersey
- Zip
- 07304-1608
- Phone Number
- 917-830-2539
Provider Business Mailing Address Details
- Address
- 254 Clinton Ave Apt 2
Jersey City, NJ 07304-1608 - City
- Jersey City
- State
- NJ
- Zip
- 07304-1608
- Phone Number
- 917-830-2539
License Information
- Taxonomy (1)
- Private Vehicle · 347C00000X
- Taxonomy (2)
- Licensed Practical Nurse · 164W00000X · Primary
Legacy Identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| No legacy identifiers (Medicaid, Medicare or plan IDs) are on file for this provider. | |||
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Frequently Asked Questions
What is the NPI number of Cathedral Of Living Waters INC. DBA Living Waters Transport?
The NPI number of Cathedral Of Living Waters INC. DBA Living Waters Transport is 1275497778. It was assigned on December 10, 2025 and is currently active in the NPPES registry.
What is the specialty of Cathedral Of Living Waters INC. DBA Living Waters Transport?
Cathedral Of Living Waters INC. DBA Living Waters Transport is registered under the primary taxonomy Licensed Practical Nurse (code 164W00000X).
Where does Cathedral Of Living Waters INC. DBA Living Waters Transport practice?
The practice location is 254 Clinton Ave Apt 2, Jersey City, NJ 07304-1608. The office can be reached at 917-830-2539 (phone).
What is an NPI number?
A National Provider Identifier (NPI) is a unique 10-digit identification number issued to health care providers in the United States by the Centers for Medicare and Medicaid Services (CMS). It is used in HIPAA standard transactions.
How do I verify this NPI record?
This record is sourced from the public NPPES NPI Registry maintained by CMS. You can confirm it by searching NPI 1275497778 directly on the NPPES registry website.