Provider Demographics
NPI:1164817532
Name:LOVINGCARE@HOME, INC.
Entity Type:Organization
Organization Name:LOVINGCARE@HOME, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:MARY
Authorized Official - Middle Name:T
Authorized Official - Last Name:NIELSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:623-565-8928
Mailing Address - Street 1:13003 W BUTTERFIELD DR
Mailing Address - Street 2:
Mailing Address - City:SUN CITY WEST
Mailing Address - State:AZ
Mailing Address - Zip Code:85375-5041
Mailing Address - Country:US
Mailing Address - Phone:623-565-8928
Mailing Address - Fax:623-239-4237
Practice Address - Street 1:13003 W BUTTERFIELD DR
Practice Address - Street 2:
Practice Address - City:SUN CITY WEST
Practice Address - State:AZ
Practice Address - Zip Code:85375-5041
Practice Address - Country:US
Practice Address - Phone:623-565-8928
Practice Address - Fax:623-239-4237
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-04-02
Last Update Date:2015-04-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care