Organization Active NPI

Loving Light Community Outreach

  • In Home Supportive Care Agency
  • Rocky Mount, NC
National Provider Identifier
1801394275
Registry record updated Jan 31, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LOVING LIGHT COMMUNITY OUTREACH
Practice address
403 Atlantic Ave
Rocky Mount, NC 27801-5313
Phone
(252) 673-0652
NPI assigned
Jan 31, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jan 31, 2018

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

Authorized official

Name
Dennis Antonio Stephenson
Title
Director
Phone
(252) 673-0652

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

403 Atlantic Ave
Rocky Mount, NC 27801-5313

Mailing address

313 Highway 158 Business
Murfreesboro, NC 27855
Phone (252) 673-0652

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1517356800000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1517356800000",
    "number": "1801394275",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "313 HIGHWAY 158 BUSINESS",
            "city": "MURFREESBORO",
            "state": "NC",
            "postal_code": "27855",
            "telephone_number": "252-673-0652"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "403 ATLANTIC AVE",
            "city": "ROCKY MOUNT",
            "state": "NC",
            "postal_code": "278015313",
            "telephone_number": "252-673-0652"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING LIGHT COMMUNITY OUTREACH",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-01-31",
        "last_updated": "2018-01-31",
        "status": "A",
        "authorized_official_last_name": "STEPHENSON",
        "authorized_official_first_name": "DENNIS",
        "authorized_official_middle_name": "ANTONIO",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "252-673-0652"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Rocky Mount, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jan 31, 2018; 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.