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AVEANNA HEALTHCARE
NPI 1003106774
Home Health in Fort Wayne, IN

Active since April 14, 2011CLIA 15D2018156 · Waiver
111 E LUDWIG RD STE 109, FORT WAYNE, IN 46825(260) 969-0100(260) 969-0101 Get Directions Write a Review

NPPES record last updated: February 8, 2019. Verified against the NPPES registry weekly; last sync: August 09, 2026.

About Aveanna Healthcare NPPES

Official registry information on file with the National Plan and Provider Enumeration System.

AVEANNA HEALTHCARE (NPI 1003106774) is a healthcare organization registered as a home health in Fort Wayne, Indiana and active in the NPI registry since April 2011. The organization holds a CLIA Waiver certificate valid through December 26, 2026 and lists Vicki Whiteside, Director Regulatory Licensing, as its authorized official.

NPPES Registry Identity

NPI1003106774
Entity TypeOrganization
Primary Taxonomy251E00000X
Legal Business NameLOVING CARE AGENCY, INC.
Location Address111 E LUDWIG RD STE 109Fort Wayne, IN 46825-4240
Mailing Address400 Interstate North Pkwy Se Ste 1600Atlanta, GA 30339-5047 · (770) 248-8740 · Fax (214) 466-1378
Phone(260) 969-0100
Fax(260) 969-0101
Organization SubpartNo
Authorized OfficialVicki WhitesideDirector Regulatory Licensing · (770) 248-8740
Enumeration DateApril 14, 2011
Last NPPES UpdateFebruary 8, 2019
✔ NPI 1003106774 is a valid, active identifier and passes the ISO check-digit test.

Specialties & Licenses

★ Primary SpecialtyHome HealthAgencies
Taxonomy Code251E00000X
License✔ Licensed in IN · 10-0123950-1
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.
111 E LUDWIG RD STE 109, Fort Wayne, IN 46825
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Other Names 1

Doing Business AsAveanna Healthcare

Other Identifiers 1

Other200884790CIN · Medicaid Waiver Program

CLIA Laboratory Certificates CMS CLIA

Laboratory certificates issued under the Clinical Laboratory Improvement Amendments (CLIA) program, which sets federal quality standards for human laboratory testing in the United States. There is no official CMS crosswalk between CLIA and NPI numbers; these certificates are associated with this NPI by matching facility names, locations and phone numbers in the CMS CLIA registry.

Certificate of Waiver 15D2018156

Loving Care Agency, Inc D/B/A Aveanna Healthcare · Fort Wayne, IN
Active · expires Dec 26, 2026
CLIA Number15D2018156
Laboratory TypeHome Health Agency
Certificate Effective DateDecember 27, 2024
Certificate Expiration DateDecember 26, 2026
Laboratory DirectorDevan Walker
Laboratory Phone(260) 969-0100
Laboratory LocationLoving Care Agency, Inc D/B/A Aveanna Healthcare111 East Ludwig Road, Suite 109, Fort Wayne, IN 46825
CLIA data matches this NPI record on: Address Name Phone
This certificate is issued to a laboratory to perform only waived tests.

Other Providers at the Same Location NPPES

Providers registered at the same practice address, or within the immediate area, according to the NPPES registry.

LOVING CARE AGENCY, INC.
Home Health
111 E LUDWIG RD STE 109
FORT WAYNE, IN 46825
Allen County (201) 403-9300

Frequently Asked Questions NPPES & CMS

Common questions about this NPI record, answered from the official NPPES registry and CMS datasets shown on this page.

What is Loving Care Agency, Inc.'s NPI number?

The NPI number for Loving Care Agency, Inc. is 1003106774. It was assigned to this organization in the NPPES registry on April 14, 2011. The provider is doing business as Aveanna Healthcare.

Where is Loving Care Agency, Inc. located?

Loving Care Agency, Inc. is located at 111 E Ludwig Rd Ste 109, Fort Wayne, IN 46825. The listed phone number is (260) 969-0100.

What is Loving Care Agency, Inc.'s specialty?

The primary specialty registered for this NPI is Home Health with taxonomy code 251E00000X.

Does Loving Care Agency, Inc. hold a CLIA laboratory certificate?

Yes. A Certificate of Waiver (number 15D2018156) is associated with this NPI, valid through December 26, 2026. CLIA certificates authorize laboratory testing under the federal Clinical Laboratory Improvement Amendments program.

When was this NPI record last updated?

The NPPES record for Loving Care Agency, Inc. was last updated on February 8, 2019. NPI Profile syncs weekly with the NPPES registry data releases published by CMS. This NPI record was last updated 7 years ago. If this record has changed at CMS more recently, you can request an on-demand re-check against the live CMS registry, directly from this page.