Provider Demographics
NPI:1497427827
Name:MAGIC OF LOVE HOMECARE LLC
Entity Type:Organization
Organization Name:MAGIC OF LOVE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:OM
Authorized Official - Middle Name:RAJ
Authorized Official - Last Name:GURUNG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-616-3024
Mailing Address - Street 1:4601 LOCUST LN STE 102
Mailing Address - Street 2:
Mailing Address - City:HARRISBURG
Mailing Address - State:PA
Mailing Address - Zip Code:17109-4445
Mailing Address - Country:US
Mailing Address - Phone:717-523-3916
Mailing Address - Fax:717-526-4217
Practice Address - Street 1:4601 LOCUST LANE
Practice Address - Street 2:SUITE 102
Practice Address - City:HARRISBURG
Practice Address - State:PA
Practice Address - Zip Code:17109-5922
Practice Address - Country:US
Practice Address - Phone:347-654-5026
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-10-04
Last Update Date:2023-09-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health