Provider Demographics
NPI:1770214793
Name:LOVED AT HOME CARE AGENCY
Entity Type:Organization
Organization Name:LOVED AT HOME CARE AGENCY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ALEX
Authorized Official - Middle Name:
Authorized Official - Last Name:NDIKURUGAMBA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-422-6923
Mailing Address - Street 1:7077 HICKORY LN
Mailing Address - Street 2:
Mailing Address - City:URBANDALE
Mailing Address - State:IA
Mailing Address - Zip Code:50322-1892
Mailing Address - Country:US
Mailing Address - Phone:515-422-6923
Mailing Address - Fax:
Practice Address - Street 1:5260 NW BEAVER DR
Practice Address - Street 2:
Practice Address - City:JOHNSTON
Practice Address - State:IA
Practice Address - Zip Code:50131-1332
Practice Address - Country:US
Practice Address - Phone:515-422-6923
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-06-21
Last Update Date:2022-06-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health