Provider Demographics
NPI:1720393697
Name:LOVING HOME HEALTH CARE INC.
Entity Type:Organization
Organization Name:LOVING HOME HEALTH CARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:HOME HEALTH SERVICES/PRESIDENT
Authorized Official - Prefix:MS
Authorized Official - First Name:CASSANDRA
Authorized Official - Middle Name:
Authorized Official - Last Name:CISERO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-213-1308
Mailing Address - Street 1:16500 N PARK DR APT 1003
Mailing Address - Street 2:P.O.BOX 351255 DETROIT, MI 48235
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48075-4750
Mailing Address - Country:US
Mailing Address - Phone:248-443-0323
Mailing Address - Fax:248-443-2262
Practice Address - Street 1:16500 N PARK DR APT 1003
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48075-4750
Practice Address - Country:US
Practice Address - Phone:248-443-0323
Practice Address - Fax:248-443-2262
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2010-08-16
Last Update Date:2010-08-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health