Provider Demographics
NPI:1780030338
Name:LOVINGCARE MEDICAL STAFF LLC
Entity Type:Organization
Organization Name:LOVINGCARE MEDICAL STAFF LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:STEPHEN
Authorized Official - Middle Name:
Authorized Official - Last Name:ZOGAL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:479-430-8480
Mailing Address - Street 1:503 PARK ST
Mailing Address - Street 2:
Mailing Address - City:SPRINGDALE
Mailing Address - State:AR
Mailing Address - Zip Code:72764-5526
Mailing Address - Country:US
Mailing Address - Phone:479-430-8480
Mailing Address - Fax:
Practice Address - Street 1:503 PARK ST
Practice Address - Street 2:
Practice Address - City:SPRINGDALE
Practice Address - State:AR
Practice Address - Zip Code:72764-5526
Practice Address - Country:US
Practice Address - Phone:479-430-8480
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-05-12
Last Update Date:2016-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care