Provider Demographics
NPI:1235423351
Name:LOVING CARE TRANSITIONAL HOME, LLC
Entity Type:Organization
Organization Name:LOVING CARE TRANSITIONAL HOME, LLC
Other - Org Name:LOVING CARE SEVICES
Other - Org Type:Other Name
Authorized Official - Title/Position:DIRECTOR/ ADMINISTRATOR
Authorized Official - Prefix:MRS
Authorized Official - First Name:REGINA
Authorized Official - Middle Name:YAA
Authorized Official - Last Name:BOBIE
Authorized Official - Suffix:
Authorized Official - Credentials:MBA, CPCU
Authorized Official - Phone:513-476-7879
Mailing Address - Street 1:8354 PRINCETON GLENDALE RD STE 209
Mailing Address - Street 2:
Mailing Address - City:WEST CHESTER
Mailing Address - State:OH
Mailing Address - Zip Code:45069-2130
Mailing Address - Country:US
Mailing Address - Phone:513-860-1026
Mailing Address - Fax:513-860-1032
Practice Address - Street 1:8354 PRINCETON GLENDALE RD STE 209
Practice Address - Street 2:
Practice Address - City:WEST CHESTER
Practice Address - State:OH
Practice Address - Zip Code:45069-2130
Practice Address - Country:US
Practice Address - Phone:513-860-1026
Practice Address - Fax:513-860-1032
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-06-06
Last Update Date:2022-07-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2302547OtherOHIO DEPT OF DEVELOPMENTAL DISABILITIES CONTRACT NUMBER
OH2819463Medicaid