Provider Demographics
NPI:1013228428
Name:NATION LOVING CARE, INC.
Entity Type:Organization
Organization Name:NATION LOVING CARE, INC.
Other - Org Name:NLC HOME HEALTH SERVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:SYDONIE
Authorized Official - Middle Name:
Authorized Official - Last Name:BONGAM
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:301-728-7851
Mailing Address - Street 1:1359 HANCOCK ST
Mailing Address - Street 2:
Mailing Address - City:QUINCY
Mailing Address - State:MA
Mailing Address - Zip Code:02169-5108
Mailing Address - Country:US
Mailing Address - Phone:301-728-7851
Mailing Address - Fax:
Practice Address - Street 1:1359 HANCOCK ST
Practice Address - Street 2:
Practice Address - City:QUINCY
Practice Address - State:MA
Practice Address - Zip Code:02169-5108
Practice Address - Country:US
Practice Address - Phone:301-728-7851
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-06-30
Last Update Date:2012-03-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MA=========OtherINCORPORATED IN MASSACHUSETTS