Provider Demographics
NPI:1376243790
Name:LOVING SISTER'S HOME CARE LLC
Entity Type:Organization
Organization Name:LOVING SISTER'S HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JENISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:SPURLOCK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-556-0068
Mailing Address - Street 1:680 W CONCORD ST APT 230
Mailing Address - Street 2:
Mailing Address - City:ORLANDO
Mailing Address - State:FL
Mailing Address - Zip Code:32801-1199
Mailing Address - Country:US
Mailing Address - Phone:314-556-0068
Mailing Address - Fax:
Practice Address - Street 1:3751 PENNRIDGE DR STE 116C
Practice Address - Street 2:
Practice Address - City:BRIDGETON
Practice Address - State:MO
Practice Address - Zip Code:63044-1244
Practice Address - Country:US
Practice Address - Phone:314-626-5580
Practice Address - Fax:314-558-7973
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-03-06
Last Update Date:2023-03-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty