Provider Demographics
NPI:1336326545
Name:MCM LOVING HEALTHCARE, INC.
Entity Type:Organization
Organization Name:MCM LOVING HEALTHCARE, INC.
Other - Org Name:NEW COVENANT HOME HEALTH CARE, INC.
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MARIA
Authorized Official - Middle Name:C
Authorized Official - Last Name:GALANG-CUEVAS
Authorized Official - Suffix:
Authorized Official - Credentials:BSN-RN
Authorized Official - Phone:630-548-9200
Mailing Address - Street 1:1620 PEBBLEWOOD LANE
Mailing Address - Street 2:SUITE 232
Mailing Address - City:NAPERVILLE
Mailing Address - State:IL
Mailing Address - Zip Code:60563-9077
Mailing Address - Country:US
Mailing Address - Phone:630-548-9200
Mailing Address - Fax:630-548-9201
Practice Address - Street 1:1620 PEBBLEWOOD LANE
Practice Address - Street 2:SUITE 232
Practice Address - City:NAPERVILLE
Practice Address - State:IL
Practice Address - Zip Code:60563-9077
Practice Address - Country:US
Practice Address - Phone:630-548-9200
Practice Address - Fax:630-548-9201
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:MCM LOVING HEALTHCARE, INC.
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2008-01-30
Last Update Date:2014-12-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IL1010746251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health