Provider Demographics
NPI:1780228635
Name:WITH LOVE IN-HOME CARE LLC
Entity Type:Organization
Organization Name:WITH LOVE IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:AMBRA
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:LEACHMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:573-529-0663
Mailing Address - Street 1:121 E WASHINGTON AVE UNIT LL
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63122-4548
Mailing Address - Country:US
Mailing Address - Phone:573-529-0663
Mailing Address - Fax:
Practice Address - Street 1:121 E WASHINGTON AVE UNIT LL
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63122-4548
Practice Address - Country:US
Practice Address - Phone:573-529-0663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2019-11-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care