NPIMap

Organization Active NPI

The Loving Home,Inc. #6

  • Mental Illness Community Based Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1366846404
Registry record updated Oct 17, 2014
On this page

Key facts

NPPES NPI Registry
Primary specialty
Mental Illness Community Based Residential Treatment FacilityTaxonomy code 320800000X
Legal business name
THE LOVING HOME,INC. #6
Practice address
1903 Bridger St
Fayetteville, NC 28301-3913
Phone
(910) 884-3896
Fax
(910) 484-0629
NPI assigned
Oct 17, 2014
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Oct 17, 2014

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

Authorized official

Name
Desmond Onye Okorieoch, BS,MBA
Title
President/Ceo
Phone
(910) 624-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Mental Illness Community Based Residential Treatment Facility 320800000X Primary

Addresses

Primary practice location

1903 Bridger St
Fayetteville, NC 28301-3913

Mailing address

1903 Bridger St
Fayetteville, NC 28301-3913
Phone (910) 884-3896

Other identifiers 1

IdentifierTypeStateIssuer
3408341MedicaidNC

National Provider Directory

National Provider Directory
Tax ID family
The Loving Home Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

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

NPI Registry JSON

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

{
    "created_epoch": "1413504000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1413504000000",
    "number": "1366846404",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "1903 BRIDGER ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013913",
            "telephone_number": "910-884-3896",
            "fax_number": "910-484-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1903 BRIDGER ST",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283013913",
            "telephone_number": "910-884-3896",
            "fax_number": "910-484-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOVING HOME,INC. #6",
        "organizational_subpart": "NO",
        "enumeration_date": "2014-10-17",
        "last_updated": "2014-10-17",
        "status": "A",
        "authorized_official_last_name": "OKORIEOCH",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_middle_name": "ONYE",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "910-624-0844",
        "authorized_official_credential": "BS,MBA"
    },
    "taxonomies": [
        {
            "code": "320800000X",
            "taxonomy_group": "",
            "desc": "Community Based Residential Treatment Facility, Mental Illness",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408341",
            "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 Oct 17, 2014; 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.