Provider Demographics
NPI:1477266922
Name:LOVING HOME CARE SERVICES LLC
Entity Type:Organization
Organization Name:LOVING HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:MUAAZ
Authorized Official - Middle Name:
Authorized Official - Last Name:AJAIL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:207-838-7624
Mailing Address - Street 1:688 FOREST AVE
Mailing Address - Street 2:
Mailing Address - City:PORTLAND
Mailing Address - State:ME
Mailing Address - Zip Code:04103-4102
Mailing Address - Country:US
Mailing Address - Phone:207-838-7624
Mailing Address - Fax:
Practice Address - Street 1:688 FOREST AVE
Practice Address - Street 2:
Practice Address - City:PORTLAND
Practice Address - State:ME
Practice Address - Zip Code:04103-4102
Practice Address - Country:US
Practice Address - Phone:207-838-7624
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-12-29
Last Update Date:2023-07-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care