Healthcare Provider Details

I. General information

NPI: 1699802769
Provider Name (Legal Business Name): LOVING CARE HOME HEALTH CARE SERVICES, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/27/2007
Last Update Date: 04/11/2023
Certification Date: 04/11/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2 TERRACE WAY SUITE A
GREENSBORO NC
27403-3663
US

IV. Provider business mailing address

2404 WHEATFIELD DR
GREENSBORO NC
27405-2880
US

V. Phone/Fax

Practice location:
  • Phone: 336-545-0230
  • Fax: 336-545-0706
Mailing address:
  • Phone: 336-545-0230
  • Fax: 336-545-0706

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code311Z00000X
TaxonomyCustodial Care Facility
License NumberHC3071
License Number StateNC
# 4
Primary TaxonomyN
Taxonomy Code311ZA0620X
TaxonomyAdult Care Home Facility
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MS. DARLENE LATRINA HAMILTON
Title or Position: DIRECTOR
Credential:
Phone: 336-545-0230