Provider Demographics
NPI:1790569226
Name:REAL LOVING CARE HOME CARE LLC
Entity Type:Organization
Organization Name:REAL LOVING CARE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:JUSTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:330-568-4098
Mailing Address - Street 1:361 W INDIANOLA AVE
Mailing Address - Street 2:
Mailing Address - City:YOUNGSTOWN
Mailing Address - State:OH
Mailing Address - Zip Code:44511-2452
Mailing Address - Country:US
Mailing Address - Phone:234-855-0044
Mailing Address - Fax:330-568-4098
Practice Address - Street 1:29 JACKSON ST
Practice Address - Street 2:
Practice Address - City:HUBBARD
Practice Address - State:OH
Practice Address - Zip Code:44425-1773
Practice Address - Country:US
Practice Address - Phone:330-568-4098
Practice Address - Fax:330-568-4162
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:REAL LOVING CARE HOME CARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-08-24
Last Update Date:2023-08-24
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes251E00000XAgenciesHome HealthGroup - Multi-Specialty
No372500000XNursing Service Related ProvidersChore ProviderGroup - Multi-Specialty