Provider Demographics
NPI:1336680842
Name:LOVING HEARTS HOME HEALTH
Entity Type:Organization
Organization Name:LOVING HEARTS HOME HEALTH
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:CHERYL
Authorized Official - Middle Name:E
Authorized Official - Last Name:ASHBROOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:4199-087-7605
Mailing Address - Street 1:54 STURGES AVE
Mailing Address - Street 2:
Mailing Address - City:MANSFIELD
Mailing Address - State:OH
Mailing Address - Zip Code:44902-1912
Mailing Address - Country:US
Mailing Address - Phone:419-908-7605
Mailing Address - Fax:
Practice Address - Street 1:54 STURGES AVE
Practice Address - Street 2:
Practice Address - City:MANSFIELD
Practice Address - State:OH
Practice Address - Zip Code:44902-1912
Practice Address - Country:US
Practice Address - Phone:419-908-7605
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-03-16
Last Update Date:2017-03-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health