Provider Demographics
NPI:1437838570
Name:BROOKE'S GIFT OF LOVE HOMECARE LLC
Entity Type:Organization
Organization Name:BROOKE'S GIFT OF LOVE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-580-9158
Mailing Address - Street 1:4993 TILBURY RD
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-3754
Mailing Address - Country:US
Mailing Address - Phone:708-580-9158
Mailing Address - Fax:
Practice Address - Street 1:4993 TILBURY RD
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-3754
Practice Address - Country:US
Practice Address - Phone:708-580-9158
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROOKE'S GIFT OF LOVE HOMECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-17
Last Update Date:2023-07-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health