Provider Demographics
NPI:1356498521
Name:LOVING CARE AND MORE, INC.
Entity Type:Organization
Organization Name:LOVING CARE AND MORE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:208-752-1019
Mailing Address - Street 1:PO BOX 119
Mailing Address - Street 2:
Mailing Address - City:SILVERTON
Mailing Address - State:ID
Mailing Address - Zip Code:83867-0119
Mailing Address - Country:US
Mailing Address - Phone:208-752-1019
Mailing Address - Fax:208-752-1063
Practice Address - Street 1:104 WINDRIVER RD
Practice Address - Street 2:
Practice Address - City:SILVERTON
Practice Address - State:ID
Practice Address - Zip Code:83867-0119
Practice Address - Country:US
Practice Address - Phone:208-752-1019
Practice Address - Fax:208-752-1063
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-01-03
Last Update Date:2010-10-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
IDHH-149251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
ID807284200Medicaid
ID002916900Medicaid
ID002916800Medicaid
ID807186200Medicaid
ID807284100Medicaid
ID807284100Medicaid