Provider Demographics
NPI:1740002377
Name:LIVING HOPE HOME CARE LLC
Entity type:Organization
Organization Name:LIVING HOPE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR/CEO
Authorized Official - Prefix:
Authorized Official - First Name:LAURA
Authorized Official - Middle Name:ANN
Authorized Official - Last Name:KOSTER
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:616-706-6263
Mailing Address - Street 1:11671 FINKBEINER RD
Mailing Address - Street 2:
Mailing Address - City:MIDDLEVILLE
Mailing Address - State:MI
Mailing Address - Zip Code:49333
Mailing Address - Country:US
Mailing Address - Phone:616-706-6263
Mailing Address - Fax:
Practice Address - Street 1:15540 LAKE MICHIGAN DR.
Practice Address - Street 2:
Practice Address - City:WEST OLIVE
Practice Address - State:MI
Practice Address - Zip Code:49460
Practice Address - Country:US
Practice Address - Phone:616-706-6263
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-10-25
Last Update Date:2024-10-25
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251S00000XAgenciesCommunity/Behavioral Health