Provider Demographics
NPI:1003485111
Name:LIVING AT HOME CARE SERVICES
Entity Type:Organization
Organization Name:LIVING AT HOME CARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:MR
Authorized Official - First Name:DEMETRIUS
Authorized Official - Middle Name:L
Authorized Official - Last Name:COVINGTON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:910-929-0451
Mailing Address - Street 1:1624 WHITE OAK CHURCH RD STE 128
Mailing Address - Street 2:
Mailing Address - City:APEX
Mailing Address - State:NC
Mailing Address - Zip Code:27523-6071
Mailing Address - Country:US
Mailing Address - Phone:910-929-0451
Mailing Address - Fax:
Practice Address - Street 1:1624 WHITE OAK CHURCH RD STE 128
Practice Address - Street 2:
Practice Address - City:APEX
Practice Address - State:NC
Practice Address - Zip Code:27523-6071
Practice Address - Country:US
Practice Address - Phone:910-929-0451
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-22
Last Update Date:2021-06-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care