Loving Care Agency, Inc.

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

Legal business name

LOVING CARE AGENCY, INC.

Practice address

55 Challenger Rd
Suite 302
Ridgefield Park, NJ 07660-2104

Phone

(201) 403-9300

Fax

(201) 403-9262

NPI assigned

Jul 20, 2005

Organization subpart

No

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

Authorized official

Name

Mr. Robert F. Creamer

Title

Chief Executive Officer

Phone

(201) 403-9300

Specialties & licenses 2

Addresses

Medicare fee-for-service enrollment

Enrolled in PA

Enrollment records 1

Home health agency certification: CCN 397778

Legal name

LOVING CARE AGENCY, INC.

Doing business as

AVEANNA HEALTHCARE

Certification status

Active

Provider type (POS)

Home health agency

Participating since

Sep 15, 2003

Last certification

Jun 20, 2012

Ownership / control type

Proprietary

Organization structure

CorporationProprietary

Incorporated

Dec 7, 1993 in NJ

Enrollment address

4 Neshaminy Interplex Dr
Ste 204
Trevose, PA 19053-6940

Other NPIs on the same Medicare enrollment 1

NPIs listed together on one Medicare enrollment, typically parts of the same organization.

• Loving Care Agency, Inc.

  • Home Health Agency
  • Trevose, PA
  • NPI 1912035585

  O20021211000008

  Same enrollment

Listed as

Aveanna HealthcareCCN 397778

Ownership

Proprietary

Certified

Sep 15, 2003

Medicare certification status

ActiveFrom the Provider of Services file

Services

Nursing, Physical therapy

Locations

All disclosed owners & managing parties 19

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

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

{
    "created_epoch": "1121817600000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1333411200000",
    "number": "1144229188",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "611 ROUTE 46 WEST",
            "address_2": "SUITE 200",
            "city": "HASBROUCK HEIGHTS",
            "state": "NJ",
            "postal_code": "076043118",
            "telephone_number": "201-403-9300",
            "fax_number": "201-403-9262"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "55 CHALLENGER RD",
            "address_2": "SUITE 302",
            "city": "RIDGEFIELD PARK",
            "state": "NJ",
            "postal_code": "076602104",
            "telephone_number": "201-403-9300",
            "fax_number": "201-403-9262"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE AGENCY, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2005-07-20",
        "last_updated": "2012-04-03",
        "status": "A",
        "authorized_official_last_name": "CREAMER",
        "authorized_official_first_name": "ROBERT",
        "authorized_official_middle_name": "F.",
        "authorized_official_title_or_position": "CHIEF EXECUTIVE OFFICER",
        "authorized_official_telephone_number": "201-403-9300",
        "authorized_official_name_prefix": "Mr."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NJ",
            "license": null,
            "primary": true
        },
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "PA",
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Diane Lang, RN
• Nellie Lee, MD
• Xiaoping Liu
• Lisa Loesner
• Dawn Marie Looby
• Sara Lucien
• Priya Madhiwala, DMD
• Clare Maggio
• Cheryl McLaughlan, AS
• Richard Medina, LAC

• Home Health Agency in Ridgefield Park, NJ
• Providers in Ridgefield Park, NJ by specialty
• Home Health Agency in New Jersey

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 3, 2012; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
• Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments; facility enrollments, owners and changes of ownership; Provider of Services certification data.
• Medicare Care Compare (CMS): clinician profile, group practices, facility affiliations, MIPS scores and star ratings.
• National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.