Provider Demographics
NPI:1639882558
Name:LOVING ARMS AT HOME LLC
Entity Type:Organization
Organization Name:LOVING ARMS AT HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CERTIFIED NURSING ASSISTANT
Authorized Official - Prefix:
Authorized Official - First Name:JESSICA
Authorized Official - Middle Name:
Authorized Official - Last Name:EDWARDS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:540-222-0730
Mailing Address - Street 1:1313 SPRING MEADOW LN APT 201
Mailing Address - Street 2:
Mailing Address - City:CULPEPER
Mailing Address - State:VA
Mailing Address - Zip Code:22701-2494
Mailing Address - Country:US
Mailing Address - Phone:540-222-0730
Mailing Address - Fax:
Practice Address - Street 1:1313 SPRING MEADOW LN APT 201
Practice Address - Street 2:
Practice Address - City:CULPEPER
Practice Address - State:VA
Practice Address - Zip Code:22701-2494
Practice Address - Country:US
Practice Address - Phone:540-222-0730
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-01-05
Last Update Date:2023-01-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376K00000XNursing Service Related ProvidersNurse's AideGroup - Single Specialty