Love Garden Healthcare Agency

LBN: Love Garden, Llc
Love Garden Healthcare Agency is an health care organization with primary practice located at 419 Bennett St , Greensboro NC 27406-1847. The organization recently has 2 registered licenses in different health care specialties including Agencies / Home Health, Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities. Agencies / Home Health is the primary health care specialty. Love Garden, Llc can be contacted via phone (336) 988-2964, or through Iheanacho, Clement C via phone (336) 988-2964.

Contact Information

Primary practice address
419 Bennett St Greensboro NC 27406-1847
Phone: (336) 988-2964
Fax: (336) 790-8555
Website:
Map and Directions
Authorized official contact:
Name: Iheanacho, Clement C PH.D.
Phone: (336) 988-2964

Health care specialties

SpecialtyCodeLicense #State
Agencies / Home Health 251E00000X HC3594 North Carolina
Residential Treatment Facilities / Residential Treatment Facility, Mental Retardation and/or Developmental Disabilities 320600000X MH-041-783 North Carolina

Profile Details

NPI number 1689738312
LBN Legal business name Love Garden, Llc
DBA Doing business as Love Garden Healthcare Agency
Authorized official Iheanacho, Clement C PH.D.
Entity Organization
Organization subpart 1 No
Enumeration date Dec 20th, 2006
Last updated Sep 20th, 2007 - about 17 years ago

1 Some organizations, which are providing health care services, may consist of units or departments that provide different types of health care services or have several separate physical locations, where health care service is provided. These units, departments or physical locations are not themselves legal entities. However, each of them is part of the organization, which is a legal entity. The organization may decide whether its subparts, if it has any, should have their own NPI numbers. In case a subpart conducts any HIPAA standard transactions by itself, without its parent's involvement, it must have its own NPI number.

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Identifiers

StateTypeNumberIssuer
All States NPI 1689738312 NPPES
North Carolina Other 061400 FACILITY ID:
North Carolina MEDICAID 3418269 FACILITY ID:
North Carolina MEDICAID 6601648 FACILITY ID:
North Carolina MEDICAID 8301659 FACILITY ID:
North Carolina Other 061380 FACILITY ID:
North Carolina MEDICAID 6604006 FACILITY ID:
North Carolina MEDICAID 8301748G FACILITY ID:
North Carolina MEDICAID 8301659B FACILITY ID:
North Carolina MEDICAID 8301748 FACILITY ID:

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