MEDICARE: LOVINGCARE GROUP HOME

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	251S00000X	Community/Behavioral Health Agency	MHL-096-165	NC

General Provider Information

NPI Number	:	1528111200
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVINGCARE GROUP HOME

Provider Business Mailing Address
First Line	:	621 POWELL RD
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-7853
Country	:	US
Telephone Number	:	919-778-7595
Fax Number	:	919-751-8534

Provider Business Practice Location Address
First Line	:	496 MILLERS CHAPEL RD
Second Line	:
City	:	GOLDSBORO
State	:	NC
Zip	:	27534-7762
Country	:	US
Telephone Number	:	919-778-7595
Fax Number	:	919-751-8534

Authorized Official
Title or Position	:	DIRECTOR
Name	:	MRS. VELMA TAYLOR BALDWIN
Credential	:
Telephone Number	:	919-778-7595

Provider Enumeration Date	:	01/18/2007
Last Update Date	:	08/22/2020

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