Provider Demographics
NPI:1346832839
Name:LOVING HEROES LLC
Entity Type:Organization
Organization Name:LOVING HEROES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:REGISTERED NURSE
Authorized Official - Prefix:MS
Authorized Official - First Name:MINDY
Authorized Official - Middle Name:ANNE
Authorized Official - Last Name:MILBRUN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:203-554-5949
Mailing Address - Street 1:564 BLACK ROCK TPKE UNIT C
Mailing Address - Street 2:
Mailing Address - City:FAIRFIELD
Mailing Address - State:CT
Mailing Address - Zip Code:06825-4744
Mailing Address - Country:US
Mailing Address - Phone:203-554-5949
Mailing Address - Fax:
Practice Address - Street 1:564 BLACK ROCK TPKE UNIT C
Practice Address - Street 2:
Practice Address - City:FAIRFIELD
Practice Address - State:CT
Practice Address - Zip Code:06825-4744
Practice Address - Country:US
Practice Address - Phone:203-554-5949
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-02-07
Last Update Date:2021-02-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health