Organization Active NPI

Loving Healthcare & Wellness, LLC

  • Primary Care Clinic/Center
  • Jackson, MS
National Provider Identifier
1700618071
Registry record updated Aug 15, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Primary Care Clinic/CenterTaxonomy code 261QP2300X
Legal business name
LOVING HEALTHCARE & WELLNESS, LLC
Practice address
4780 I 55 N Ste 100-143
Jackson, MS 39211-5542
Phone
(601) 760-1033
NPI assigned
Aug 15, 2024
Last updated
Aug 15, 2024By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Aug 15, 2024

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

Authorized official

Name
Chiquita Loving, NPNPI 1215503941
Title
Nurse Practitioner
Phone
(601) 760-1033

Authorized official NPPES reports the official by name only. The link goes to the one practitioner connected to this organization with that name.

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Primary Care Clinic/Center 261QP2300X NU Primary

Addresses

Primary practice location

4780 I 55 N Ste 100-143
Jackson, MS 39211-5542

Mailing address

4780 I 55 N Ste 100-143
Jackson, MS 39211-5542
Phone (601) 760-1033

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in MS

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250430001803 MS Part B Supplier - Clinic/Group Practice 2769908912 Receives reassigned benefits from 1 practitioner
Practice locations: Jackson, MS

National Provider Directory

National Provider Directory

Locations

4780 I 55 N
Ste 100143
Jackson, MS 39211
Phone (601) 760-1033

4780 I 55 N
Ste 143
Jackson, MS 39211
Phone (601) 937-1936

Practitioners & affiliated clinicians

Practitioners 1

Individual providers connected to this organization through Medicare benefit reassignment, Care Compare group membership or National Provider Directory roles, and the practitioner matching its NPPES authorized official.

NPI Registry JSON

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

{
    "created_epoch": "1723680000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1723680000000",
    "number": "1700618071",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4780 I 55 N STE 100-143",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115542",
            "telephone_number": "601-760-1033"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4780 I 55 N STE 100-143",
            "city": "JACKSON",
            "state": "MS",
            "postal_code": "392115542",
            "telephone_number": "601-760-1033"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING HEALTHCARE & WELLNESS, LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-08-15",
        "last_updated": "2024-08-15",
        "certification_date": "2024-08-15",
        "status": "A",
        "authorized_official_last_name": "LOVING",
        "authorized_official_first_name": "CHIQUITA",
        "authorized_official_title_or_position": "NURSE PRACTITIONER",
        "authorized_official_telephone_number": "601-760-1033",
        "authorized_official_credential": "NP"
    },
    "taxonomies": [
        {
            "code": "261QP2300X",
            "taxonomy_group": "",
            "desc": "Clinic/Center, Primary Care",
            "state": "NU",
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Jackson, MS

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 15, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • Medicare enrollment (CMS PECOS): enrollments, PAC IDs and benefit reassignments.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.