Provider Demographics
NPI:1497940746
Name:IN HOME LOVING CARE
Entity Type:Organization
Organization Name:IN HOME LOVING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:LONNIE
Authorized Official - Middle Name:LAWRENCE
Authorized Official - Last Name:HALL
Authorized Official - Suffix:JR
Authorized Official - Credentials:RN
Authorized Official - Phone:614-833-1521
Mailing Address - Street 1:3313 BEAGLE BLVD
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43232-7511
Mailing Address - Country:US
Mailing Address - Phone:614-437-2664
Mailing Address - Fax:
Practice Address - Street 1:3313 BEAGLE BLVD
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43232-7511
Practice Address - Country:US
Practice Address - Phone:614-437-2664
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-09-10
Last Update Date:2012-08-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OH1718823251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health