Provider Demographics
NPI:1093852717
Name:LOVING HEARTS HOMECARE LLC
Entity Type:Organization
Organization Name:LOVING HEARTS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:PATRICIA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:WHITEHEAD
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:757-814-7540
Mailing Address - Street 1:1585 BRIARFIELD RD
Mailing Address - Street 2:APT. 129
Mailing Address - City:HAMPTON
Mailing Address - State:VA
Mailing Address - Zip Code:23666-4833
Mailing Address - Country:US
Mailing Address - Phone:757-814-7540
Mailing Address - Fax:
Practice Address - Street 1:1585 BRIARFIELD RD
Practice Address - Street 2:APT. 129
Practice Address - City:HAMPTON
Practice Address - State:VA
Practice Address - Zip Code:23666-4833
Practice Address - Country:US
Practice Address - Phone:757-814-7540
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-31
Last Update Date:2020-08-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
VA110537251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health