Healthcare Provider Details

I. General information

NPI: 1285514562
Provider Name (Legal Business Name): LOVE IS CARE INC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/05/2025
Last Update Date: 09/05/2025
Certification Date: 09/05/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

3069 CUMBERLAND RD STE 105
FAYETTEVILLE NC
28306-6819
US

IV. Provider business mailing address

3069 CUMBERLAND RD STE 105
FAYETTEVILLE NC
28306-6819
US

V. Phone/Fax

Practice location:
  • Phone: 910-500-6700
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QM0850X
TaxonomyAdult Mental Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MS. LASHON LASSITER
Title or Position: OWNER
Credential:
Phone: 910-500-6700