Provider Demographics
NPI:1497263404
Name:IN LOVING CARE HOME CARE LLC
Entity Type:Organization
Organization Name:IN LOVING CARE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT/OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MISTI
Authorized Official - Middle Name:
Authorized Official - Last Name:ROBINSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:901-619-8918
Mailing Address - Street 1:230 GOODMAN RD E STE 101
Mailing Address - Street 2:
Mailing Address - City:SOUTHAVEN
Mailing Address - State:MS
Mailing Address - Zip Code:38671-8313
Mailing Address - Country:US
Mailing Address - Phone:662-510-8880
Mailing Address - Fax:
Practice Address - Street 1:230 GOODMAN RD E STE 101
Practice Address - Street 2:
Practice Address - City:SOUTHAVEN
Practice Address - State:MS
Practice Address - Zip Code:38671-8313
Practice Address - Country:US
Practice Address - Phone:662-510-8880
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-01-12
Last Update Date:2018-01-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health