Provider Demographics
NPI:1568140739
Name:MY LOVING HOME LLC
Entity Type:Organization
Organization Name:MY LOVING HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:MANGER
Authorized Official - Prefix:
Authorized Official - First Name:NATASHA
Authorized Official - Middle Name:
Authorized Official - Last Name:CASSEL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:414-793-6660
Mailing Address - Street 1:7830 W CALDWELL CT
Mailing Address - Street 2:
Mailing Address - City:MILWAUKEE
Mailing Address - State:WI
Mailing Address - Zip Code:53218-3526
Mailing Address - Country:US
Mailing Address - Phone:414-793-6660
Mailing Address - Fax:
Practice Address - Street 1:7830 W CALDWELL CT
Practice Address - Street 2:
Practice Address - City:MILWAUKEE
Practice Address - State:WI
Practice Address - Zip Code:53218-3526
Practice Address - Country:US
Practice Address - Phone:414-793-6660
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-07-07
Last Update Date:2023-07-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care