Provider Demographics
NPI:1437571015
Name:HANDS OF LOVE, LLC
Entity Type:Organization
Organization Name:HANDS OF LOVE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:DIANNA
Authorized Official - Middle Name:L
Authorized Official - Last Name:BURGESS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:216-566-4948
Mailing Address - Street 1:2202 E 70TH ST
Mailing Address - Street 2:4
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44103-4755
Mailing Address - Country:US
Mailing Address - Phone:216-566-4948
Mailing Address - Fax:
Practice Address - Street 1:707 BROOKPARK RD
Practice Address - Street 2:302
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44109-5800
Practice Address - Country:US
Practice Address - Phone:216-566-4948
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-01-15
Last Update Date:2014-01-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH139142251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health