The Loving Home #3

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

License

MHL-026-882 Issued in NC

Legal business name

THE LOVING HOME #3

Practice address

4944 Macedonia Church Rd
Fayetteville, NC 28312-5896

Phone

(910) 485-4742

Fax

(910) 484-0629

NPI assigned

Aug 6, 2013

Organization subpart

No

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

Authorized official

Name

Desmond Okorieocha, MBA

Title

President/Ceo

Phone

(910) 624-0844

Specialties & licenses 1

Addresses

Other identifiers 1

Tax ID family

The Loving Home Inc6 organizations share this tax ID, including this one

Other organizations with this tax ID 5

Organizations that report the same tax identification number in the National Provider Directory.

• The Loving Home, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Eastover, NC
  • NPI 1326470881
  NPD tax ID
• The Loving Home, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fayetteville, NC
  • NPI 1548692718
  NPD tax ID
• The Loving Home, Inc.

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fayetteville, NC
  • NPI 1558427609
  NPD tax ID
• The Loving Home, Inc. #4

  • Intellectual and/or Developmental Disabilities Residential Treatment Facility
  • Fayetteville, NC
  • NPI 1750713921
  NPD tax ID
• The Loving Home,Inc. #6

  • Mental Illness Community Based Residential Treatment Facility
  • Fayetteville, NC
  • NPI 1366846404
  NPD tax ID

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

{
    "created_epoch": "1375747200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1375747200000",
    "number": "1972935435",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "3608 THORNDIKE DR",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283110309",
            "telephone_number": "910-488-4089",
            "fax_number": "910-484-0629"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4944 MACEDONIA CHURCH RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283125896",
            "telephone_number": "910-485-4742",
            "fax_number": "910-484-0629"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "THE LOVING HOME #3",
        "organizational_subpart": "NO",
        "enumeration_date": "2013-08-06",
        "last_updated": "2013-08-06",
        "status": "A",
        "authorized_official_last_name": "OKORIEOCHA",
        "authorized_official_first_name": "DESMOND",
        "authorized_official_title_or_position": "PRESIDENT/CEO",
        "authorized_official_telephone_number": "910-624-0844",
        "authorized_official_credential": "MBA"
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": "NC",
            "license": "MHL-026-882",
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "3408341",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": []
}

• The Janice Mae Hawkins Foundation Inc (S & S Spoonridge Group Home)
• The Janice Mae Hawkins Foundation Inc (S & S Associates Private Duty Nursing)
• The Janice Mae Hawkins Foundation, Inc. (S & S Spoonridge PSR Program)
• The Janice Mae Hawkins Foundation, Inc.
• The Jones Center for Women's Health PLLC
• The Loving Home, Inc.
• The Loving Home, Inc.
• The Loving Home, Inc. #4
• The Loving Home,Inc. #6
• The M & L Home

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Fayetteville, NC
• Providers in Fayetteville, NC by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Carolina

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Aug 6, 2013; 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.