Organization Active NPI

Loving Life Home Care Agency Inc

  • In Home Supportive Care Agency
  • Fayetteville, NC
National Provider Identifier
1972990687
Registry record updated Mar 3, 2022
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LOVING LIFE HOME CARE AGENCY INC
Doing business as
Loving Life Home Care Agency INC
Practice address
1811 Fort Bragg Rd
Fayetteville, NC 28303-6804
Phone
(910) 977-4610
Fax
(910) 339-0047
NPI assigned
Apr 20, 2015
Last updated
Mar 3, 2022By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Mar 3, 2022

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

Authorized official

Name
Ms. Walonda Andrela Owens
Title
Director
Phone
(910) 977-4610

Specialties & licenses 3

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Health Maintenance Organization 302R00000X HC4740 NC

Addresses

Primary practice location

1811 Fort Bragg Rd
Fayetteville, NC 28303-6804

Mailing address

510 Candleberry CT
Fayetteville, NC 28301-7901
Phone (910) 977-4610

Other identifiers 1

IdentifierTypeStateIssuer
1972990687MedicaidNC

Other names 1

  • Loving Life Home Care Agency INC Doing business as

National Provider Directory

National Provider Directory

Locations

1811 Fort Bragg Rd
Fayetteville, NC 28303
Phone (910) 977-4610

NPI Registry JSON

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

{
    "created_epoch": "1429488000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1646265600000",
    "number": "1972990687",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "510 CANDLEBERRY CT",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283017901",
            "telephone_number": "910-977-4610"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "1811 FORT BRAGG RD",
            "city": "FAYETTEVILLE",
            "state": "NC",
            "postal_code": "283036804",
            "telephone_number": "910-977-4610",
            "fax_number": "910-339-0047"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVING LIFE HOME CARE AGENCY INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2015-04-20",
        "last_updated": "2022-03-03",
        "certification_date": "2022-03-03",
        "status": "A",
        "authorized_official_last_name": "OWENS",
        "authorized_official_first_name": "WALONDA",
        "authorized_official_middle_name": "ANDRELA",
        "authorized_official_title_or_position": "DIRECTOR",
        "authorized_official_telephone_number": "910-977-4610",
        "authorized_official_name_prefix": "Ms."
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "302R00000X",
            "taxonomy_group": "",
            "desc": "Health Maintenance Organization",
            "state": "NC",
            "license": "HC4740",
            "primary": false
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "1972990687",
            "state": "NC"
        }
    ],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Loving Life Home Care Agency INC",
            "code": "3",
            "type": "Doing Business As"
        }
    ]
}

Other providers in Fayetteville, NC

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Mar 3, 2022; 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.