Provider Demographics
NPI:1083330633
Name:LOVE CARE HEALTH SERVICES LLC
Entity Type:Organization
Organization Name:LOVE CARE HEALTH SERVICES LLC
Other - Org Name:LOVE CARE HEALTH SERVICES LLC
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:NEGA
Authorized Official - Middle Name:A
Authorized Official - Last Name:YILMA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-571-1676
Mailing Address - Street 1:4213 CHESNEY GLEN DR
Mailing Address - Street 2:
Mailing Address - City:HERMITAGE
Mailing Address - State:TN
Mailing Address - Zip Code:37076-4425
Mailing Address - Country:US
Mailing Address - Phone:615-571-1676
Mailing Address - Fax:
Practice Address - Street 1:4213 CHESNEY GLEN DR
Practice Address - Street 2:
Practice Address - City:HERMITAGE
Practice Address - State:TN
Practice Address - Zip Code:37076-4425
Practice Address - Country:US
Practice Address - Phone:615-571-1676
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-17
Last Update Date:2023-05-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care