Organization Active NPI

The Loving Home, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fayetteville, NC
National Provider Identifier
1548692718
Registry record updated Jul 30, 2013
On this page

Key facts

NPPES NPI Registry
Primary specialty
Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X
License
MHL-026-883 Issued in NC
Legal business name
THE LOVING HOME, INC.
Practice address
3581 Torbay Dr
Fayetteville, NC 28311-2462
Phone
(910) 485-4742
Fax
(910) 484-0629
NPI assigned
Jul 30, 2013
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jul 30, 2013

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

Authorized official

Name
Desmond Okorieocha, MBA
Title
President/Ceo
Phone
(910) 624-0844

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Intellectual and/or Developmental Disabilities Residential Treatment Facility 320600000X MHL-026-883 NC Primary

Addresses

Primary practice location

3581 Torbay Dr
Fayetteville, NC 28311-2462

Mailing address

4944 Macedonia Church Rd
Fayetteville, NC 28312-5896
Phone (910) 485-4742

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": "1375142400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375142400000",
    "number": "1548692718",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4944 MACEDONIA CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283125896",
            "telephone_number": "910-485-4742",
            "fax_number": "910-484-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "3581 TORBAY DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283112462",
            "telephone_number": "910-485-4742",
            "fax_number": "910-484-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOVING HOME, INC.",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-07-30",
        "last_updated": "2013-07-30",
        "status": "A",
        "authorized_official_last_name": "OKORIEOCHA",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "910-624-0844",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-026-883",
            "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 Jul 30, 2013; 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.