Provider Demographics
NPI:1780005264
Name:HOME LOVING CARE INC
Entity Type:Organization
Organization Name:HOME LOVING CARE INC
Other - Org Name:HOME LOVING SENIOR CARE, INC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:AGENCY DIRECTOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:AKEICO
Authorized Official - Middle Name:NAKAI
Authorized Official - Last Name:STANLEY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:336-993-1600
Mailing Address - Street 1:1011 MASTEN DRIVE
Mailing Address - Street 2:931-B SOUTH MAIN STREET #144
Mailing Address - City:KERNERSVILLE
Mailing Address - State:NC
Mailing Address - Zip Code:27284
Mailing Address - Country:US
Mailing Address - Phone:336-993-1600
Mailing Address - Fax:336-992-1712
Practice Address - Street 1:1011 MASTEN DRIVE
Practice Address - Street 2:931-B SOUTH MAIN STREET #144
Practice Address - City:KERNERSVILLE
Practice Address - State:NC
Practice Address - Zip Code:27284
Practice Address - Country:US
Practice Address - Phone:336-993-1600
Practice Address - Fax:336-992-1712
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-30
Last Update Date:2020-03-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NCHC3916253Z00000X
372600000X, 3747P1801X, 376J00000X, 376K00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes372600000XNursing Service Related ProvidersAdult CompanionGroup - Multi-Specialty
No253Z00000XAgenciesIn Home Supportive CareGroup - Multi-Specialty
No3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Multi-Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty