Provider Demographics
NPI:1437325701
Name:LOVING ARMS NURSING SERVICE
Entity Type:Organization
Organization Name:LOVING ARMS NURSING SERVICE
Other - Org Name:LOVING ARMS NURSING SERVICE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MR
Authorized Official - First Name:SHAWN
Authorized Official - Middle Name:D
Authorized Official - Last Name:DRAUGHAN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:347-564-0085
Mailing Address - Street 1:1682 DEAN ST
Mailing Address - Street 2:APT 2
Mailing Address - City:BROOKLYN
Mailing Address - State:NY
Mailing Address - Zip Code:11213-1706
Mailing Address - Country:US
Mailing Address - Phone:347-564-0085
Mailing Address - Fax:
Practice Address - Street 1:1682 DEAN ST
Practice Address - Street 2:APT 2
Practice Address - City:BROOKLYN
Practice Address - State:NY
Practice Address - Zip Code:11213-1706
Practice Address - Country:US
Practice Address - Phone:347-564-0085
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2008-05-06
Last Update Date:2008-05-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
NY591936251J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care