MEDICARE: LOVING HANDS OF CHARLOTTE, 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	C200625800162	NC

General Provider Information

NPI Number	:	1598809345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING HANDS OF CHARLOTTE, LLC

Provider Business Mailing Address
First Line	:	6924 OLD FORGE DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-7647
Country	:	US
Telephone Number	:	704-362-3683
Fax Number	:	704-362-1427

Provider Business Practice Location Address
First Line	:	6924 OLD FORGE DR
Second Line	:
City	:	CHARLOTTE
State	:	NC
Zip	:	28226-7647
Country	:	US
Telephone Number	:	704-362-3683
Fax Number	:	704-362-1427

Authorized Official
Title or Position	:	OWNER
Name	:	MRS. MARGARET WARE LINDSAY
Credential	:
Telephone Number	:	704-362-3683

Provider Enumeration Date	:	02/16/2007
Last Update Date	:	08/22/2020

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