Provider Demographics
NPI:1033677281
Name:HOME LOVING CARE, LLC
Entity Type:Organization
Organization Name:HOME LOVING CARE, LLC
Other - Org Name:HOME LOVING CARE, LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OFFICE MANAGER
Authorized Official - Prefix:MS
Authorized Official - First Name:YVETTE
Authorized Official - Middle Name:
Authorized Official - Last Name:MAURICE
Authorized Official - Suffix:
Authorized Official - Credentials:NEUROPHYSIOLOGY SPEC
Authorized Official - Phone:203-923-8537
Mailing Address - Street 1:2318 MAIN ST STE 2
Mailing Address - Street 2:
Mailing Address - City:STRATFORD
Mailing Address - State:CT
Mailing Address - Zip Code:06615-5966
Mailing Address - Country:US
Mailing Address - Phone:203-923-8537
Mailing Address - Fax:203-549-0755
Practice Address - Street 1:2318 MAIN ST STE 2
Practice Address - Street 2:
Practice Address - City:STRATFORD
Practice Address - State:CT
Practice Address - Zip Code:06615
Practice Address - Country:US
Practice Address - Phone:203-923-8537
Practice Address - Fax:203-549-0755
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-06
Last Update Date:2019-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care