Loving Care Living Facility Incorporated

Primary specialty

Assisted Living FacilityTaxonomy code 310400000X

License

AL8149 Issued in FL

Legal business name

LOVING CARE LIVING FACILITY INCORPORATED

Practice address

76 Bruen St
St Augustine, FL 32084-3406

Phone

(904) 824-6616

Fax

(904) 797-7440

NPI assigned

Aug 2, 2006

Organization subpart

No

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

Authorized official

Name

Mr. Thomas J Jackson II, M.P.A.

Title

Business MGR/Owner

Phone

(904) 824-6616

Specialties & licenses 1

Addresses

Other names 1

• Loving Care Living Facility Former legal business name

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

{
    "created_epoch": "1154476800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1598054400000",
    "number": "1750398541",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 588",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320850588",
            "telephone_number": "904-824-6616"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "76 BRUEN ST",
            "city": "ST AUGUSTINE",
            "state": "FL",
            "postal_code": "320843406",
            "telephone_number": "904-824-6616",
            "fax_number": "904-797-7440"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING CARE LIVING FACILITY INCORPORATED",
        "organizational_subpart": "NO",
        "enumeration_date": "2006-08-02",
        "last_updated": "2020-08-22",
        "status": "A",
        "authorized_official_last_name": "JACKSON",
        "authorized_official_first_name": "THOMAS",
        "authorized_official_middle_name": "J",
        "authorized_official_title_or_position": "BUSINESS MGR/OWNER",
        "authorized_official_telephone_number": "904-824-6616",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "II",
        "authorized_official_credential": "M.P.A."
    },
    "taxonomies": [
        {
            "code": "310400000X",
            "taxonomy_group": "",
            "desc": "Assisted Living Facility",
            "state": "FL",
            "license": "AL8149",
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loving Care Living Facility",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

• Patricia Lopez
• Angie Bacon Lopresti, ITDS
• Kristi M Lord, APRN
• Indya Jamicena Lorick, RDH
• Keffion Lovelace
• Carlos Andres Lozano
• Jose Antonio Lozano, MD, CSFA, OPA-C
• Edrick Gabriel Lugo Millan, M.D.
• Heather Sherry-Anne Luing, MD
• Guadalupe Luis, LCSW

• Assisted Living Facility in St Augustine, FL
• Providers in St Augustine, FL by specialty
• Assisted Living Facility in Florida

• 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.

Verify at the official NPI Registry.