Provider Demographics
NPI:1336319003
Name:LOVING HANDS R ON THE WAY LLC
Entity Type:Organization
Organization Name:LOVING HANDS R ON THE WAY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:RONYA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:WHITELAW
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:219-228-1249
Mailing Address - Street 1:445 169TH ST
Mailing Address - Street 2:
Mailing Address - City:HAMMOND
Mailing Address - State:IN
Mailing Address - Zip Code:46324-1915
Mailing Address - Country:US
Mailing Address - Phone:219-228-1249
Mailing Address - Fax:219-852-0875
Practice Address - Street 1:445 169TH ST
Practice Address - Street 2:
Practice Address - City:HAMMOND
Practice Address - State:IN
Practice Address - Zip Code:46324-1915
Practice Address - Country:US
Practice Address - Phone:219-228-1249
Practice Address - Fax:219-852-0875
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-03-09
Last Update Date:2015-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
IN200957810AMedicaid
15-7613Medicare PIN