Healthcare Provider Details

I. General information

NPI: 1013136183
Provider Name (Legal Business Name): LOVING CARE ADULT DAY CARE AND HEALTH CENTER INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/25/2007
Last Update Date: 08/22/2020
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7917 MOORES CHAPEL RD SUITE D
CHARLOTTE NC
28214-1559
US

IV. Provider business mailing address

7917 MOORES CHAPEL RD SUITE D
CHARLOTTE NC
28214-1559
US

V. Phone/Fax

Practice location:
  • Phone: 704-391-2776
  • Fax: 704-391-3720
Mailing address:
  • Phone: 704-391-2776
  • Fax: 704-391-3720

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. JENOLE JENNINGS
Title or Position: PROGRAM DIRECTOR
Credential:
Phone: 704-391-2776