Provider Demographics
NPI:1023541182
Name:LOTS OF LOVE HOME HEALTH SERVICES
Entity Type:Organization
Organization Name:LOTS OF LOVE HOME HEALTH SERVICES
Other - Org Name:LOTS OF LOVE, CONSUMER DIRECTED SERVICES, LLC
Other - Org Type:Other Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:A
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-696-8750
Mailing Address - Street 1:4144 LINDELL BLVD STE 218
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63108-2932
Mailing Address - Country:US
Mailing Address - Phone:314-696-8750
Mailing Address - Fax:
Practice Address - Street 1:4144 LINDELL BLVD. SUITE 218
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136
Practice Address - Country:US
Practice Address - Phone:314-696-8750
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LC001447003
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2017-04-06
Last Update Date:2017-04-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC001509801253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
MO260026943Medicaid