Provider Demographics
NPI:1265042873
Name:LOVING HOME HEALTHCARE SERVICES INC
Entity Type:Organization
Organization Name:LOVING HOME HEALTHCARE SERVICES INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:SUPERVISOR
Authorized Official - Prefix:
Authorized Official - First Name:PATRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:NIMUBONA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:516-665-1819
Mailing Address - Street 1:394 COLLEGE MANOR CT
Mailing Address - Street 2:
Mailing Address - City:ARNOLD
Mailing Address - State:MD
Mailing Address - Zip Code:21012-1822
Mailing Address - Country:US
Mailing Address - Phone:301-802-8794
Mailing Address - Fax:
Practice Address - Street 1:394 COLLEGE MANOR CT
Practice Address - Street 2:
Practice Address - City:ARNOLD
Practice Address - State:MD
Practice Address - Zip Code:21012-1822
Practice Address - Country:US
Practice Address - Phone:301-802-8794
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-08-07
Last Update Date:2020-08-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD207427300Medicaid