Provider Demographics
NPI:1821565946
Name:THE WATERS SENIOR LIVING MANAGEMENT LLC
Entity type:Organization
Organization Name:THE WATERS SENIOR LIVING MANAGEMENT LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF OPERATING OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:HEIDI
Authorized Official - Middle Name:M
Authorized Official - Last Name:ELLIOTT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:952-358-5100
Mailing Address - Street 1:10900 WAYZATA BLVD
Mailing Address - Street 2:SUITE 740
Mailing Address - City:MINNETONKA
Mailing Address - State:MN
Mailing Address - Zip Code:55305-0004
Mailing Address - Country:US
Mailing Address - Phone:952-358-5100
Mailing Address - Fax:
Practice Address - Street 1:210 FOWLER RD
Practice Address - Street 2:
Practice Address - City:WARRENDALE
Practice Address - State:PA
Practice Address - Zip Code:15086-1126
Practice Address - Country:US
Practice Address - Phone:724-799-8260
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-10-26
Last Update Date:2024-07-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747A0650XNursing Service Related ProvidersTechnicianAttendant Care ProviderGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty