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Love Garden, Llc
Intellectual and/or Developmental Disabilities Residential Treatment Facility in Greensboro, North Carolina
NPI 1689738312

Love Garden, Llc is a Intellectual and/or Developmental Disabilities Residential Treatment Facility based in Greensboro, NC. Love Garden, Llc practices in Greensboro, NC. The NPI Number for Love Garden, Llc is 1689738312 and holds a License No. HC3594 (North Carolina).

The current practice location address for Love Garden, Llc is 419 Bennett St, Greensboro, NC and can be reached out via phone at 336-988-2964 and via fax at 336-790-8555.

Location: 419 Bennett St, Greensboro, NC, 27406-1847
Profile Details Legacy Identifiers Practice Address Mailing Address Primary Taxonomy
institution
Provider Profile Details
NPI Number
1689738312
Provider Name
Love Garden, Llc
Credential
Provider Entity Type
Organization
Address
419 Bennett St, Greensboro, NC, 27406-1847
Phone Number
336-988-2964
Fax Number
336-790-8555
Provider Enumeration Date
12/20/2006
Last Update Date
03/12/2024
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Provider's Legacy Identifiers
Identifier Type State Issuer
061400 01 NC FACILITY ID:
3418269 05 NC
6601648 05 NC
8301659 05 NC
061380 01 NC FACILITY ID:
6604006 05 NC
8301748G 05 NC
8301659B 05 NC
8301748 05 NC
institution
Provider Business Practice Location Address Details
Address
419 Bennett St
City
Greensboro
State
North Carolina
Zip
27406-1847
Phone Number
336-988-2964
Fax Number
336-790-8555
person
Provider Business Mailing Address Details
Address
419 Bennett St
City
Greensboro
State
North Carolina
Zip
27406-1847
Phone Number
336-988-2964
Fax Number
336-790-8555
person
Provider's Taxonomy Details 1
Type
Agencies
Classification
Home Health
Speciality
-
Taxonomy
251E00000X
License No.
MH-041-783 (North Carolina)
Definition
A public agency or private organization, or a subdivision of such an agency or organization, that is primarily engaged in providing skilled nursing services and other therapeutic services, such as physical therapy, speech-language pathology services, or occupational therapy, medical social services, and home health aide services. It has policies established by a professional group associated with the agency or organization (including at least one physician and one registered nurse) to govern the services and provides for supervision of such services by a physician or a registered nurse; maintains clinical records on all patients; is licensed in accordance with State or local law or is approved by the State or local licensing agency as meeting the licensing standards, where applicable; and meets other conditions found by the Secretary of Health and Human Services to be necessary for health and safety.
person
Provider's Taxonomy Details 2
Type
Residential Treatment Facilities
Classification
Residential Treatment Facility, Intellectual and/or Developmental Disabilities
Speciality
-
Taxonomy
320600000X
License No.
HC3594 (North Carolina)
Definition
A residential facility that provides habilitation services and other care and treatment to adults or children diagnosed with developmental and intellectual disabilities and are not able to live independently.
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