Provider Demographics
NPI:1275766826
Name:LOVING CARE AGENCY, INC.
Entity Type:Organization
Organization Name:LOVING CARE AGENCY, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:ROBERT
Authorized Official - Middle Name:F
Authorized Official - Last Name:CREAMER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:201-403-9310
Mailing Address - Street 1:55 CHALLENGER RD
Mailing Address - Street 2:SUITE 302
Mailing Address - City:RIDGEFIELD PARK
Mailing Address - State:NJ
Mailing Address - Zip Code:07660-2102
Mailing Address - Country:US
Mailing Address - Phone:201-403-9312
Mailing Address - Fax:201-403-9262
Practice Address - Street 1:70 SPARTA AVE
Practice Address - Street 2:
Practice Address - City:SPARTA
Practice Address - State:NJ
Practice Address - Zip Code:07871-1760
Practice Address - Country:US
Practice Address - Phone:973-729-3813
Practice Address - Fax:973-729-4316
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-08-31
Last Update Date:2009-08-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NJHP0076216251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health