Provider Demographics
NPI:1598313967
Name:LOVING SENIORS LLC
Entity Type:Organization
Organization Name:LOVING SENIORS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ROMMY
Authorized Official - Middle Name:
Authorized Official - Last Name:WEHLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:630-303-2525
Mailing Address - Street 1:197 AMHURST CT
Mailing Address - Street 2:
Mailing Address - City:VALPARAISO
Mailing Address - State:IN
Mailing Address - Zip Code:46385-8033
Mailing Address - Country:US
Mailing Address - Phone:630-303-2525
Mailing Address - Fax:
Practice Address - Street 1:123 N MAIN ST STE 204C
Practice Address - Street 2:
Practice Address - City:CROWN POINT
Practice Address - State:IN
Practice Address - Zip Code:46307-4077
Practice Address - Country:US
Practice Address - Phone:219-228-2299
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-08-29
Last Update Date:2019-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311Z00000XNursing & Custodial Care FacilitiesCustodial Care Facility