MEDICARE: LOVE LIVING LIFE HOMECARE 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	:	1154287746
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE LIVING LIFE HOMECARE LLC

Provider Business Mailing Address
First Line	:	700 N CANNON BLVD
Second Line	:
City	:	KANNAPOLIS
State	:	NC
Zip	:	28083-3798
Country	:	US
Telephone Number	:	704-835-6603
Fax Number	:

Provider Business Practice Location Address
First Line	:	700 N CANNON BLVD
Second Line	:
City	:	KANNAPOLIS
State	:	NC
Zip	:	28083-3798
Country	:	US
Telephone Number	:	704-835-6603
Fax Number	:

Authorized Official
Title or Position	:	ADMINITRATER
Name	:	MS. SHONDA HAMPTON
Credential	:
Telephone Number	:	704-835-6603

Provider Enumeration Date	:	12/29/2025
Last Update Date	:	04/13/2026

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