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THE LOVING HOME INC. #4 NPI 1750713921


NPI Information

NPI: 1750713921
Provider Name: THE LOVING HOME, INC. #4
Classification: Residential Treatment Facility, Intellectual and/or Developmental Disabilities - 320600000X
Entity Type: Organization
Address:
1710 SCAMPTON DR
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 488-5468
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THE LOVING HOME, INC. #4 is a residential treatment facility, intellectual and/or developmental disabilities in Fayetteville, NC. The provider is a residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently. THE LOVING HOME, INC. #4 NPI is 1750713921. The provider is registered as an organization entity type.

The provider's business location address is:

1710 SCAMPTON DR
FAYETTEVILLE, NC
ZIP 28303-742
Phone: (910) 488-5468
Fax: (910) 484-0629

The provider's authorized official is Desmond Okorieocha .
The authorized official title is President/ceo and has the following contact phone number (910) 624-0844.

The enumeration date for this NPI number is 7/30/2013 and was last updated on 7/30/2013.


Taxonomy Codes

The NPI record includes the healthcare provider taxonomy classification, state license number and state of licensure. The following information regarding the scope of practice of this provider is available:

No.Taxonomy CodeTaxonomy ClasificationTaxonomy SpecializationLicense NumberLicense StatePrimary
1320600000XResidential Treatment Facility, Intellectual and/or Developmental DisabilitiesMHL-026-884NORTH CAROLINAYes

Other Identifiers

The following information regarding additional identifiers associated to this NPI record includes the other identifier number, identifier type, identifier state and issuer.

No.Other Provider IdentifierOther Provider Identifier TypeOther Provider Identifier StateOther Provider Identifier Issuer
13408341MEDICAIDNORTH CAROLINA

What is NPI?

NPI stands for National Provider Identifier. The NPI is a 10-digit identification number that is completely unique. The NPI number by itself does not contain any identifiable information such as a provider’s speciality or location. The NPI is assigned to individuals or organizacions for their lifespan and it is independent of key provider information type updates like a change of practices, location or speciality.

This page was last updated on: 11/14/2023

All materials and services on this site are provided on an "as is" and "as available" basis without warranty of any kind. The NPI record is maintained by the National Plan & Provider Enumeration System (NPPES) and anyone may request this information and other NPPES health care provider data from HHS under The Freedom of Information Act (FOIA), Title 5 of the United States Code, section 552. To update the NPI records please contact the NPPES.