Provider Demographics
NPI:1114790599
Name:LOVINGS HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:LOVINGS HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:CARRIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BRYSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:704-449-0599
Mailing Address - Street 1:11908 HARRIS POINTE DR
Mailing Address - Street 2:
Mailing Address - City:CHARLOTTE
Mailing Address - State:NC
Mailing Address - Zip Code:28269-1253
Mailing Address - Country:US
Mailing Address - Phone:980-320-6545
Mailing Address - Fax:
Practice Address - Street 1:9711 DAVID TAYLOR DR STE 141
Practice Address - Street 2:
Practice Address - City:CHARLOTTE
Practice Address - State:NC
Practice Address - Zip Code:28262-2366
Practice Address - Country:US
Practice Address - Phone:704-449-0599
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-11-06
Last Update Date:2023-11-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health