Provider Demographics
NPI:1720357775
Name:LOVES HOME SWEET HOME LLC
Entity Type:Organization
Organization Name:LOVES HOME SWEET HOME LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ARECIA
Authorized Official - Middle Name:PATRICE
Authorized Official - Last Name:LOVE
Authorized Official - Suffix:
Authorized Official - Credentials:HOME CARE AGENCY
Authorized Official - Phone:586-443-3334
Mailing Address - Street 1:14950 LAPPIN ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48205-2408
Mailing Address - Country:US
Mailing Address - Phone:586-443-3334
Mailing Address - Fax:
Practice Address - Street 1:14950 LAPPIN ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48205-2408
Practice Address - Country:US
Practice Address - Phone:586-443-3334
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-12-21
Last Update Date:2011-12-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI236805820793251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health