Loving Care Personal Care Home

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

310400000 Issued in GA

Legal business name

LOVING CARE PERSONAL CARE HOME

Practice address

168 East Crawford St
Colquitt, GA 39837

Phone

(229) 309-3692

NPI assigned

Jan 21, 2010

Last updated

Jan 21, 2010By the provider in NPPES

Organization subpart

No

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

Authorized official

Name

Jessica Hall, RN

Title

Ceo

Phone

(229) 309-3692

Specialties & licenses 2

Addresses

Locations

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

{
    "created_epoch": "1264032000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1264032000000",
    "number": "1730410341",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2105 WILLIAMSBURG PLACE",
            "city": "BAINBRIDGE",
            "state": "GA",
            "postal_code": "39817",
            "telephone_number": "229-309-3692"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "168 EAST CRAWFORD ST",
            "city": "COLQUITT",
            "state": "GA",
            "postal_code": "39837",
            "telephone_number": "229-309-3692"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE PERSONAL CARE HOME",
        "organizational_subpart": "NO",
        "enumeration_date": "2010-01-21",
        "last_updated": "2010-01-21",
        "status": "A",
        "authorized_official_last_name": "HALL",
        "authorized_official_first_name": "JESSICA",
        "authorized_official_title_or_position": "CEO",
        "authorized_official_telephone_number": "229-309-3692",
        "authorized_official_credential": "RN"
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "310400000",
            "primary": true
        },
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "GA",
            "license": "6576898",
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Robert Marvin Kikel, D.D.S
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• Robert Anson Lane, DMD
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• Brent Martin
• Donna L McCann, M.D.
• Stephanie Cook McLain, APRN, FNP-C
• Miller Adult Day Health
• Miller County Board of Education

• Assisted Living Facility in Colquitt, GA
• Providers in Colquitt, GA by specialty
• Assisted Living Facility in Georgia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 21, 2010; 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.