Is this information incorrect? This page shows public data from NPPES. Update your record in NPPES and this page will update automatically within 7 days.
Organization
LOVE GARDEN, LLC
Active
Organization
LOVE GARDEN, LLC
Active
Other names
Love Garden Healthcare Agency
Organization subpart
No
Provider details
NPI number
Authorized official
DR. CLEMENT C IHEANACHO PH.D. (PRESIDENT)
(336) 988-2964
Entity
Organization
Contact information
Practice address
419 BENNETT ST, GREENSBORO, NC 27406-1847
(336) 988-2964
(336) 790-8555
Mailing address
419 BENNETT ST, GREENSBORO, NC 27406-1847
(336) 988-2964
(336) 790-8555
Taxonomy
Speciality
Code
Description
License number
State
251E00000X
Home Health Agency
Primary
HC3594
NC
320600000X
Intellectual and/or Developmental Disabilities Residential Treatment Facility
MH-041-783
NC
Other
Other identifiers
Code
Description
Identifier
Issuer
State
01
—
061380
FACILITY ID:
NC
01
—
061400
FACILITY ID:
NC
05
—
3418269
—
NC
05
—
6601648
—
NC
05
—
6604006
—
NC
05
—
8301659
—
NC
05
—
8301659B
—
NC
05
—
8301748
—
NC
05
—
8301748G
—
NC
Enumeration date
12/20/2006
Last updated
09/20/2007
About Stedi
Stedi is the only programmable healthcare clearinghouse. You can use Stedi's APIs to process eligibility checks, claims, remits, and more.
Sign up