Active NPI
Loving Arms Home Care Agency Inc
- In Home Supportive Care Agency
- Fayetteville, NC
National Provider Identifier
1194950964
On this page
Key facts
NPPES NPI Registry- Primary specialty
- In Home Supportive Care Agency
- License
- 1111111
- Legal business name
- LOVING ARMS HOME CARE AGENCY INC
- Practice address
- 111 Lamon St
Fayetteville, NC 28301-4901 - Phone
- (910) 257-0310
- Fax
- (919) 777-5300
- NPI assigned
- May 22, 2009
- Organization subpart
- No
NPPES NPI Registry
Registry information is reported by the provider to CMS and is not verified. About this source
Authorized official
- Name
- Ervin Dailey
- Title
- President
- Phone
- (910) 257-0310
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | 1111111 | NC | Primary |
Addresses
Primary practice location
111 Lamon St
Fayetteville, NC 28301-4901
Mailing address
111 Lamon St
Fayetteville, NC 28301-4901
Phone (910) 257-0310
Other identifiers 1
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 0000000 | Medicaid | NC |
National Provider Directory
National Provider DirectoryNPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1242950400000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1242950400000",
"number": "1194950964",
"addresses": [
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "MAILING",
"address_type": "DOM",
"address_1": "111 LAMON ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283014901",
"telephone_number": "910-257-0310",
"fax_number": "919-777-5300"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "111 LAMON ST",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283014901",
"telephone_number": "910-257-0310",
"fax_number": "919-777-5300"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "LOVING ARMS HOME CARE AGENCY INC",
"organizational_subpart": "NO",
"enumeration_date": "2009-05-22",
"last_updated": "2009-05-22",
"status": "A",
"authorized_official_last_name": "DAILEY",
"authorized_official_first_name": "ERVIN",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-257-0310"
},
"taxonomies": [
{
"code": "253Z00000X",
"taxonomy_group": "",
"desc": "In Home Supportive Care",
"state": "NC",
"license": "1111111",
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "0000000",
"state": "NC"
}
],
"endpoints": [],
"other_names": []
}
Other providers in Fayetteville, NC
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on May 22, 2009; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.