Provider Demographics
NPI:1598985699
Name:LOVING AND DEPENDABLE HEALTHCARE PROVIDERLLC
Entity Type:Organization
Organization Name:LOVING AND DEPENDABLE HEALTHCARE PROVIDERLLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LUEBERTHA
Authorized Official - Middle Name:
Authorized Official - Last Name:GREER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-743-9031
Mailing Address - Street 1:35 S CHAMPION ST STE 305
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44503-1805
Mailing Address - Country:US
Mailing Address - Phone:330-743-9031
Mailing Address - Fax:330-743-8970
Practice Address - Street 1:35 CHAMPION STREET SUITE 305
Practice Address - Street 2:
Practice Address - City:YOUNGSTOWN
Practice Address - State:OH
Practice Address - Zip Code:44503-3171
Practice Address - Country:US
Practice Address - Phone:330-743-9031
Practice Address - Fax:330-743-8970
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-04-30
Last Update Date:2008-12-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
OHNA251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health