Provider Demographics
NPI:1144778119
Name:LOVING HEART'S HOME HEALTH
Entity Type:Organization
Organization Name:LOVING HEART'S HOME HEALTH
Other - Org Name:LOVING HEART'S NON MEDICAL CAREGIVER
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:TAMIKA
Authorized Official - Middle Name:A
Authorized Official - Last Name:MCKNIGHT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:615-693-3368
Mailing Address - Street 1:4068 FAIRMEADE DR
Mailing Address - Street 2:
Mailing Address - City:NASHVILLE
Mailing Address - State:TN
Mailing Address - Zip Code:37218-1617
Mailing Address - Country:US
Mailing Address - Phone:615-693-3368
Mailing Address - Fax:
Practice Address - Street 1:4068 FAIRMEADE DR
Practice Address - Street 2:
Practice Address - City:NASHVILLE
Practice Address - State:TN
Practice Address - Zip Code:37218-1617
Practice Address - Country:US
Practice Address - Phone:615-693-3368
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-09-19
Last Update Date:2016-09-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TN251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
TN=========Medicaid