Provider Demographics
NPI:1043744394
Name:LOVING HANDS EXTENDED HOME SERVICES LLC
Entity Type:Organization
Organization Name:LOVING HANDS EXTENDED HOME SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSING ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:PEGGY
Authorized Official - Middle Name:D
Authorized Official - Last Name:CHESTER
Authorized Official - Suffix:
Authorized Official - Credentials:NURSE
Authorized Official - Phone:229-434-1372
Mailing Address - Street 1:1906 DAWSON RD
Mailing Address - Street 2:
Mailing Address - City:ALBANY
Mailing Address - State:GA
Mailing Address - Zip Code:31707-3306
Mailing Address - Country:US
Mailing Address - Phone:229-434-1372
Mailing Address - Fax:
Practice Address - Street 1:1906 DAWSON RD
Practice Address - Street 2:
Practice Address - City:ALBANY
Practice Address - State:GA
Practice Address - Zip Code:31707-3306
Practice Address - Country:US
Practice Address - Phone:229-434-1372
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-13
Last Update Date:2021-04-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No163W00000XNursing Service ProvidersRegistered NurseGroup - Multi-Specialty
No164W00000XNursing Service ProvidersLicensed Practical NurseGroup - Multi-Specialty
No376K00000XNursing Service Related ProvidersNurse's AideGroup - Multi-Specialty
No385H00000XRespite Care FacilityRespite Care