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Contact Information

CATHEDRAL OF LIVING WATERS INC. DBA LIVING WATERS TRANSPORT
254 CLINTON AVE APT 2
JERSEY CITY, NJ07304-1608
 Phone: 917-830-2539
 Fax:
 Website:
 

Specialty

Taxonomy Code Specialty Code Provider Type

Licensed Practical Nurse

164W00000X
 

Private Vehicle

347C00000X
Indicates primary specialty

NPI Profile & details for CATHEDRAL OF LIVING WATERS INC. DBA LIVING WATERS TRANSPORT

NPI # 1275497778
LBN Legal business name CATHEDRAL OF LIVING WATERS INC. DBA LIVING WATERS TRANSPORT
Authorized official TAYANA THOMPSON - (REV.)
Entity Organization
Organization subpart 1 Yes
Enumeration date 12/10/2025
Last updated 12/10/2025 - About 6 months ago
Identifiers n/a
1 Some organization health care providers are made up of components that furnish different types of health care or have separate physical locations where health care is furnished. These components and physical locations are not themselves legal entities, but are part of the organization health care provider (which is a legal entity). A covered organization provider may decide that its subparts (if it has any) should have their own NPI numbers. If a subpart conducts any HIPAA standard transactions on its own (e.g., separately from its parent), it must obtain its own NPI number.

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