Healthcare Provider Details

I. General information

NPI: 1578438685
Provider Name (Legal Business Name): LOVING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/08/2025
Last Update Date: 10/08/2025
Certification Date: 10/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

226 POLAND SPRING RD
AUBURN ME
04210-8374
US

IV. Provider business mailing address

226 POLAND SPRING RD
AUBURN ME
04210-8374
US

V. Phone/Fax

Practice location:
  • Phone: 207-956-4049
  • Fax:
Mailing address:
  • Phone: 207-956-4049
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320800000X
TaxonomyMental Illness Community Based Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: INNOCENT DUSHIME INNOCENT DUSHIME
Title or Position: OWNER
Credential:
Phone: 207-956-4049