Provider Demographics
NPI:1699362194
Name:LOVING HEARTS LLC
Entity Type:Organization
Organization Name:LOVING HEARTS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:DORREETHA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:IRBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:614-483-7263
Mailing Address - Street 1:2461 MELROSE AVE
Mailing Address - Street 2:
Mailing Address - City:COLUMBUS
Mailing Address - State:OH
Mailing Address - Zip Code:43211-1741
Mailing Address - Country:US
Mailing Address - Phone:614-483-7263
Mailing Address - Fax:
Practice Address - Street 1:2461 MELROSE AVE
Practice Address - Street 2:
Practice Address - City:COLUMBUS
Practice Address - State:OH
Practice Address - Zip Code:43211-1741
Practice Address - Country:US
Practice Address - Phone:614-483-7263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-12-30
Last Update Date:2020-12-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH2549040OtherPROVIDER NUMBER