Provider Demographics
NPI:1619468881
Name:LOVING ARMS STAFFING AGENCY, LLC #1
Entity Type:Organization
Organization Name:LOVING ARMS STAFFING AGENCY, LLC #1
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:DOROTHY
Authorized Official - Middle Name:
Authorized Official - Last Name:BROADWAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:870-732-7981
Mailing Address - Street 1:130 S 16TH ST
Mailing Address - Street 2:
Mailing Address - City:WEST MEMPHIS
Mailing Address - State:AR
Mailing Address - Zip Code:72301-4610
Mailing Address - Country:US
Mailing Address - Phone:901-650-3195
Mailing Address - Fax:870-732-7984
Practice Address - Street 1:130 S 16TH ST
Practice Address - Street 2:
Practice Address - City:WEST MEMPHIS
Practice Address - State:AR
Practice Address - Zip Code:72301-4610
Practice Address - Country:US
Practice Address - Phone:870-732-7981
Practice Address - Fax:870-732-7984
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOVING ARMS ADULT DAY CARE STAFFING AGENCY, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2018-05-23
Last Update Date:2023-12-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day Care
No385H00000XRespite Care FacilityRespite Care