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LOVING LIFE HOME CARE AGENCY INC NPI 1972990687


NPI Information

NPI: 1972990687
Provider Name: LOVING LIFE HOME CARE AGENCY INC

Doing Business As: LOVING LIFE HOME CARE AGENCY INC

Classification: In Home Supportive Care - 253Z00000X
Entity Type: Organization
Address:
1811 FORT BRAGG RD
FAYETTEVILLE, NC
ZIP 28303
Phone: (910) 977-4610
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LOVING LIFE HOME CARE AGENCY INC is an in home supportive care in Fayetteville, NC. The provider is an In Home Supportive Care Agency provides services in the patient's home with the goal of enabling the patient to remain at home. The services provided may include personal care services such as hands-on assistance with activities of daily living (ADLs), e.g., eating, bathing, dressing, and bladder and bowel requirements; homemaker services and instrumental activities of daily living (IADLs), e.g., taking medications, shopping for groceries, laundry, housekeeping, and companionship; and/or supervision or cuing so that a person can perform tasks themselves. LOVING LIFE HOME CARE AGENCY INC NPI is 1972990687. The provider is registered as an organization entity type.
The provider Is Doing Business As Loving Life Home Care Agency Inc.

The provider's business location address is:

1811 FORT BRAGG RD
FAYETTEVILLE, NC
ZIP 28303-804
Phone: (910) 977-4610
Fax: (910) 339-0047

The provider's authorized official is Walonda Andrela Owens .
The authorized official title is Director and has the following contact phone number (910) 977-4610.

The enumeration date for this NPI number is 4/20/2015 and was last updated on 3/3/2022.


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
1251E00000XHome HealthNo
2302R00000XHealth Maintenance OrganizationHC4740NORTH CAROLINANo
3253Z00000XIn Home Supportive CareYes

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
11972990687MEDICAIDNORTH 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: 4/28/2024

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