Provider Demographics
NPI:1669863098
Name:LOVING HANDS ACCESSIBLE SERVICE L.L.C.
Entity Type:Organization
Organization Name:LOVING HANDS ACCESSIBLE SERVICE L.L.C.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:PORTIA
Authorized Official - Middle Name:
Authorized Official - Last Name:WOOLFORK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-320-0127
Mailing Address - Street 1:16230 MENDOTA
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48221
Mailing Address - Country:US
Mailing Address - Phone:313-320-0127
Mailing Address - Fax:
Practice Address - Street 1:16230 MENDOTA
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48221
Practice Address - Country:US
Practice Address - Phone:313-320-0127
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-02-06
Last Update Date:2015-02-06
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
172A00000X, 347C00000X, 347E00000X
MIW416690018197343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
No172A00000XOther Service ProvidersDriverGroup - Single Specialty
No347C00000XTransportation ServicesPrivate Vehicle
No347E00000XTransportation ServicesTransportation Broker