MEDICARE: MOORE LOVE CARE HOME LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1346109824
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MOORE LOVE CARE HOME LLC

Provider Business Mailing Address
First Line	:	PO BOX 16
Second Line	:
City	:	MC LEANSVILLE
State	:	NC
Zip	:	27301-0016
Country	:	US
Telephone Number	:	336-580-9836
Fax Number	:	888-508-6711

Provider Business Practice Location Address
First Line	:	614 DOUGLAS ST
Second Line	:
City	:	GREENSBORO
State	:	NC
Zip	:	27406-1709
Country	:	US
Telephone Number	:	888-508-6711
Fax Number	:	888-508-6711

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. PORCHA MOORE GARY
Credential	:
Telephone Number	:	336-580-9836

Provider Enumeration Date	:	01/20/2026
Last Update Date	:	01/20/2026

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Directions to “MOORE LOVE CARE HOME LLC ” Practice Location

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