Provider Demographics
NPI:1740747203
Name:OUR LOVING CARE, LLC
Entity Type:Organization
Organization Name:OUR LOVING CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:NURSE PRACTITONER/ CO-OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:NYASHA
Authorized Official - Middle Name:G
Authorized Official - Last Name:MCGINNIS
Authorized Official - Suffix:
Authorized Official - Credentials:ANP-C
Authorized Official - Phone:913-526-2409
Mailing Address - Street 1:14631 N CAVE CREEK RD STE 101
Mailing Address - Street 2:
Mailing Address - City:PHOENIX
Mailing Address - State:AZ
Mailing Address - Zip Code:85022-4100
Mailing Address - Country:US
Mailing Address - Phone:480-770-4633
Mailing Address - Fax:
Practice Address - Street 1:14631 N CAVE CREEK RD STE 101
Practice Address - Street 2:
Practice Address - City:PHOENIX
Practice Address - State:AZ
Practice Address - Zip Code:85022-4100
Practice Address - Country:US
Practice Address - Phone:480-770-4633
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-02-20
Last Update Date:2019-02-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261Q00000XAmbulatory Health Care FacilitiesClinic/Center