Provider Demographics
NPI:1689426132
Name:LOVESHARE HEALTHCARE SERVICES
Entity Type:Organization
Organization Name:LOVESHARE HEALTHCARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:LOVE
Authorized Official - Middle Name:CHIBUIHE
Authorized Official - Last Name:NZEAKO
Authorized Official - Suffix:
Authorized Official - Credentials:DNP, FNP-BC, PMHNP
Authorized Official - Phone:443-900-0968
Mailing Address - Street 1:9912 LINDEN HILL RD
Mailing Address - Street 2:
Mailing Address - City:OWINGS MILLS
Mailing Address - State:MD
Mailing Address - Zip Code:21117-6152
Mailing Address - Country:US
Mailing Address - Phone:443-900-0968
Mailing Address - Fax:410-363-7809
Practice Address - Street 1:9854 LIBERTY RD STE D
Practice Address - Street 2:
Practice Address - City:RANDALLSTOWN
Practice Address - State:MD
Practice Address - Zip Code:21133-2058
Practice Address - Country:US
Practice Address - Phone:443-900-0968
Practice Address - Fax:410-363-7809
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-05
Last Update Date:2024-04-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
No207Q00000XAllopathic & Osteopathic PhysiciansFamily MedicineGroup - Multi-Specialty