Love Garden, LLC

Primary specialty

Home Health AgencyTaxonomy code 251E00000X

License

HC3594 Issued in NC

Legal business name

LOVE GARDEN, LLC

Doing business as

Love Garden Healthcare Agency

Practice address

419 Bennett St
Greensboro, NC 27406-1847

Phone

(336) 988-2964

Fax

(336) 790-8555

NPI assigned

Dec 20, 2006

Organization subpart

No

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

Authorized official

Name

Dr. Clement C Iheanacho, PH.D.

Title

President

Phone

(336) 988-2964

Specialties & licenses 2

Addresses

Other identifiers 9

Other names 1

• Love Garden Healthcare Agency Doing business as

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

{
    "created_epoch": "1166572800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1190246400000",
    "number": "1689738312",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "419 BENNETT ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061847",
            "telephone_number": "336-988-2964",
            "fax_number": "336-790-8555"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "419 BENNETT ST",
            "city": "GREENSBORO",
            "state": "NC",
            "postal_code": "274061847",
            "telephone_number": "336-988-2964",
            "fax_number": "336-790-8555"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE GARDEN, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-12-20",
        "last_updated": "2007-09-20",
        "status": "A",
        "authorized_official_last_name": "IHEANACHO",
        "authorized_official_first_name": "CLEMENT",
        "authorized_official_middle_name": "C",
        "authorized_official_title_or_position": "PRESIDENT",
        "authorized_official_telephone_number": "336-988-2964",
        "authorized_official_name_prefix": "Dr.",
        "authorized_official_credential": "PH.D."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": "NC",
            "license": "HC3594",
            "primary": true
        },
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MH-041-783",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID:",
            "identifier": "061400",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3418269",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6601648",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301659",
            "state": "NC"
        },
        {
            "code": "01",
            "desc": "Other (non-Medicare)",
            "issuer": "FACILITY ID:",
            "identifier": "061380",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "6604006",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301748G",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301659B",
            "state": "NC"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "8301748",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love Garden Healthcare Agency",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

• Juldich Louezi-Madingou
• Louie L. Patseavouras, M.D.P.a. (Patseavouras Center for Plastic & Laser Surgery)
• Love and Action Center LLC
• Love and Faith Home Care
• Love and Light Family Practice, PLLC
• Love One's Grace Home Care
• James M. Love, M.D.
• Kimberly Trinh Love, PA-C
• Pamela Love, P.A.
• Sarah Love, OTR

• Home Health Agency in Greensboro, NC
• Providers in Greensboro, NC by specialty
• Home Health Agency in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Sep 20, 2007; 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.