Provider Demographics
NPI:1811709702
Name:SG LOVING CARE AGENCY
Entity type:Organization
Organization Name:SG LOVING CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CONSULTANT
Authorized Official - Prefix:
Authorized Official - First Name:WILLIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:ADOFO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-725-4123
Mailing Address - Street 1:7577 HOLLY RIDGE DR
Mailing Address - Street 2:
Mailing Address - City:GLEN BURNIE
Mailing Address - State:MD
Mailing Address - Zip Code:21060-8715
Mailing Address - Country:US
Mailing Address - Phone:240-725-4123
Mailing Address - Fax:
Practice Address - Street 1:7577 HOLLY RIDGE DR
Practice Address - Street 2:
Practice Address - City:GLEN BURNIE
Practice Address - State:MD
Practice Address - Zip Code:21060-8715
Practice Address - Country:US
Practice Address - Phone:240-725-4123
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-27
Last Update Date:2025-01-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251B00000XAgenciesCase Management
No251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care