Provider Demographics
NPI:1366868556
Name:LOVING SERENITY HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:LOVING SERENITY HOME HEALTH CARE LLC
Other - Org Name:LOVING SERENITY HOME HEALTH CARE LLC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/DIRECTOR
Authorized Official - Prefix:DR
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:A
Authorized Official - Last Name:BELLAMY
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:203-624-0492
Mailing Address - Street 1:1944 STATE ST
Mailing Address - Street 2:
Mailing Address - City:HAMDEN
Mailing Address - State:CT
Mailing Address - Zip Code:06517-3820
Mailing Address - Country:US
Mailing Address - Phone:203-624-0492
Mailing Address - Fax:203-306-3277
Practice Address - Street 1:1944 STATE ST
Practice Address - Street 2:
Practice Address - City:HAMDEN
Practice Address - State:CT
Practice Address - Zip Code:06517-3820
Practice Address - Country:US
Practice Address - Phone:203-624-0492
Practice Address - Fax:203-306-3277
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-03-12
Last Update Date:2014-03-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
CTHCA0000539251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health