Provider Demographics
NPI:1598448243
Name:LOVING ANGEL HOME HEALTH LLC
Entity Type:Organization
Organization Name:LOVING ANGEL HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:JACQUELINE
Authorized Official - Middle Name:
Authorized Official - Last Name:CARETTA
Authorized Official - Suffix:
Authorized Official - Credentials:ALTERNATE ADM
Authorized Official - Phone:956-441-3067
Mailing Address - Street 1:105 WASHINGTONIA DR
Mailing Address - Street 2:
Mailing Address - City:LAREDO
Mailing Address - State:TX
Mailing Address - Zip Code:78045-5131
Mailing Address - Country:US
Mailing Address - Phone:956-441-3067
Mailing Address - Fax:956-602-1157
Practice Address - Street 1:105 WASHINGTONIA DR
Practice Address - Street 2:
Practice Address - City:LAREDO
Practice Address - State:TX
Practice Address - Zip Code:78045-5131
Practice Address - Country:US
Practice Address - Phone:956-251-5887
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-08-09
Last Update Date:2023-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility