NPIMap

Organization Active NPI

Loving Care Agency, Inc.

  • Home Health Agency
  • Fort Wayne, IN
National Provider Identifier
1003106774
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
10-0123950-1 Issued in IN
Legal business name
LOVING CARE AGENCY, INC.
Practice address
111 E Ludwig Rd Ste 109
Fort Wayne, IN 46825-4240
Phone
(260) 969-0100
Fax
(260) 969-0101
NPI assigned
Apr 14, 2011
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 8, 2019

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Vicki Whiteside
Title
Director Regulatory Licensing
Phone
(770) 248-8740

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 10-0123950-1 IN Primary

Addresses

Primary practice location

111 E Ludwig Rd Ste 109
Fort Wayne, IN 46825-4240

Mailing address

400 Interstate North Pkwy SE Ste 1600
Atlanta, GA 30339-5047
Phone (770) 248-8740

Other identifiers 1

IdentifierTypeStateIssuer
200884790COtherINMEDICAID WAIVER PROGRAM

Other names 1

  • AVEANNA HEALTHCARE Doing business as

National Provider Directory

National Provider Directory
Tax ID family
Loving Care Agency Inc28 organizations share this tax ID, including this one

Other organizations with this tax ID 27

Organizations that report the same tax identification number in the National Provider Directory.

View all 27

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1302739200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1003106774",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "400 INTERSTATE NORTH PKWY SE STE 1600",
            "city": "ATLANTA",
            "state": "GA",
            "postal_code": "303395047",
            "telephone_number": "770-248-8740",
            "fax_number": "214-466-1378"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "111 E LUDWIG RD STE 109",
            "city": "FORT WAYNE",
            "state": "IN",
            "postal_code": "468254240",
            "telephone_number": "260-969-0100",
            "fax_number": "260-969-0101"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2011-04-14",
        "last_updated": "2019-02-08",
        "status": "A",
        "authorized_official_last_name": "WHITESIDE",
        "authorized_official_first_name": "VICKI",
        "authorized_official_title_or_position": "DIRECTOR REGULATORY LICENSING",
        "authorized_official_telephone_number": "770-248-8740"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "IN",
            "license": "10-0123950-1",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER PROGRAM",
            "identifier": "200884790C",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVEANNA HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fort Wayne, IN

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 8, 2019; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.