Provider Demographics
NPI:1811220387
Name:LOVING HANDS HOMEMAKER
Entity Type:Organization
Organization Name:LOVING HANDS HOMEMAKER
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LPN
Authorized Official - Prefix:MS
Authorized Official - First Name:THEA
Authorized Official - Middle Name:
Authorized Official - Last Name:BARNES
Authorized Official - Suffix:I
Authorized Official - Credentials:
Authorized Official - Phone:662-335-3570
Mailing Address - Street 1:1276 LONGVIEW DR
Mailing Address - Street 2:
Mailing Address - City:GREENVILLE
Mailing Address - State:MS
Mailing Address - Zip Code:38703-6633
Mailing Address - Country:US
Mailing Address - Phone:662-335-3570
Mailing Address - Fax:662-335-3570
Practice Address - Street 1:1276 LONGVIEW DR
Practice Address - Street 2:
Practice Address - City:GREENVILLE
Practice Address - State:MS
Practice Address - Zip Code:38703-6633
Practice Address - Country:US
Practice Address - Phone:662-335-3570
Practice Address - Fax:662-335-3570
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2009-09-15
Last Update Date:2010-05-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251C00000X
MSP279862376J00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No251C00000XAgenciesDay Training, Developmentally Disabled Services