Active NPI
The Loving Home, Inc.
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fayetteville, NC
National Provider Identifier
1558427609
On this page
Key facts
NPPES NPI Registry- Primary specialty
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Legal business name
- THE LOVING HOME, INC.
- Practice address
- 4944 Macedonia Church Rd
Fayetteville, NC 28312-5896 - Phone
- (910) 485-4742
- NPI assigned
- Dec 30, 2006
- 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
- Mr. Desmond Onye Okorieocha
- Title
- President
- Phone
- (910) 485-4742
Specialties & licenses 1
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| Intellectual and/or Developmental Disabilities Residential Treatment Facility | 320600000X | Primary |
Addresses
Primary practice location
4944 Macedonia Church Rd
Fayetteville, NC 28312-5896
Mailing address
4944 Macedonia Church Rd
Fayetteville, NC 28312-5896
Phone (910) 485-4742
Other identifiers 3
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 3408341 | Medicaid | NC | |
| 8301278B | Other | NC | COMMUNITY SUPPORT SERVICE |
| 7804953 | Other | NC | ADULT CARE HOME FPR PCS |
National Provider Directory
National Provider Directory- Tax ID family
- The Loving Home Inc
Other organizations with this tax ID 5
Organizations that report the same tax identification number in the National Provider Directory.
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fayetteville, NC
- NPI 1972935435
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Eastover, NC
- NPI 1326470881
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fayetteville, NC
- NPI 1548692718
-
- Intellectual and/or Developmental Disabilities Residential Treatment Facility
- Fayetteville, NC
- NPI 1750713921
-
- Mental Illness Community Based Residential Treatment Facility
- Fayetteville, NC
- NPI 1366846404
NPI Registry JSON
The complete NPPES record for this NPI in the NPI Registry API format.
{
"created_epoch": "1167436800000",
"enumeration_type": "NPI-2",
"last_updated_epoch": "1598054400000",
"number": "1558427609",
"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"
},
{
"country_code": "US",
"country_name": "United States",
"address_purpose": "LOCATION",
"address_type": "DOM",
"address_1": "4944 MACEDONIA CHURCH RD",
"city": "FAYETTEVILLE",
"state": "NC",
"postal_code": "283125896",
"telephone_number": "910-485-4742"
}
],
"practiceLocations": [],
"basic": {
"organization_name": "THE LOVING HOME, INC.",
"organizational_subpart": "NO",
"enumeration_date": "2006-12-30",
"last_updated": "2020-08-22",
"status": "A",
"authorized_official_last_name": "OKORIEOCHA",
"authorized_official_first_name": "DESMOND",
"authorized_official_middle_name": "ONYE",
"authorized_official_title_or_position": "PRESIDENT",
"authorized_official_telephone_number": "910-485-4742",
"authorized_official_name_prefix": "Mr."
},
"taxonomies": [
{
"code": "320600000X",
"taxonomy_group": "",
"desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
"state": null,
"license": null,
"primary": true
}
],
"identifiers": [
{
"code": "05",
"desc": "MEDICAID",
"issuer": null,
"identifier": "3408341",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "COMMUNITY SUPPORT SERVICE",
"identifier": "8301278B",
"state": "NC"
},
{
"code": "01",
"desc": "Other (non-Medicare)",
"issuer": "ADULT CARE HOME FPR PCS",
"identifier": "7804953",
"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 Aug 22, 2020; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.