NPIMap

Organization Active NPI

Loving Care Agency, Inc.

Doing business as Aveanna Healthcare

  • Home Health Agency
  • Indianapolis, IN
National Provider Identifier
1063652998
Registry record updated Feb 8, 2019
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
License
70071363 Issued in IN
Legal business name
LOVING CARE AGENCY, INC.
Doing business as
Aveanna Healthcare
Practice address
2629 Waterfront Parkway East Dr Ste 150
Indianapolis, IN 46214-2025
Phone
(317) 280-0422
Fax
(317) 280-0471
NPI assigned
Mar 5, 2009
Last updated
Feb 8, 2019By the provider in NPPES
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 70071363 IN Primary

Addresses

Primary practice location

2629 Waterfront Parkway East Dr Ste 150
Indianapolis, IN 46214-2025

Mailing address

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

Other identifiers 1

IdentifierTypeStateIssuer
200884790OtherINMEDICAID 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": "1236211200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1549584000000",
    "number": "1063652998",
    "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": "2629 WATERFRONT PARKWAY EAST DR STE 150",
            "city": "INDIANAPOLIS",
            "state": "IN",
            "postal_code": "462142025",
            "telephone_number": "317-280-0422",
            "fax_number": "317-280-0471"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2009-03-05",
        "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": "70071363",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "MEDICAID WAIVER PROGRAM",
            "identifier": "200884790",
            "state": "IN"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "AVEANNA HEALTHCARE",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Indianapolis, 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.