Provider Demographics
NPI:1477092534
Name:LOVING ARMS HOME HELP LLC
Entity Type:Organization
Organization Name:LOVING ARMS HOME HELP LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:VERONICA
Authorized Official - Middle Name:DIANA
Authorized Official - Last Name:OSBURN
Authorized Official - Suffix:
Authorized Official - Credentials:SOCIAL WORKER
Authorized Official - Phone:313-720-1122
Mailing Address - Street 1:25121 FORD RD # 10
Mailing Address - Street 2:
Mailing Address - City:DEARBORN
Mailing Address - State:MI
Mailing Address - Zip Code:48128-1058
Mailing Address - Country:US
Mailing Address - Phone:313-720-1122
Mailing Address - Fax:313-559-9179
Practice Address - Street 1:25121 FORD RD STE 10
Practice Address - Street 2:
Practice Address - City:DEARBORN
Practice Address - State:MI
Practice Address - Zip Code:48128-1058
Practice Address - Country:US
Practice Address - Phone:313-558-9178
Practice Address - Fax:313-558-9179
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-02-21
Last Update Date:2017-02-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI302R00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes302R00000XManaged Care OrganizationsHealth Maintenance Organization
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI1881004349Medicaid