Provider Demographics
NPI:1891398715
Name:LOVING HEARTS HOMECARE AND NURSE ADVOCATE SERVICES,LLC
Entity Type:Organization
Organization Name:LOVING HEARTS HOMECARE AND NURSE ADVOCATE SERVICES,LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:TOMEKA
Authorized Official - Middle Name:
Authorized Official - Last Name:KHAALIQ
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:678-937-6659
Mailing Address - Street 1:1224 ITHACA DR
Mailing Address - Street 2:
Mailing Address - City:MCDONOUGH
Mailing Address - State:GA
Mailing Address - Zip Code:30253-6885
Mailing Address - Country:US
Mailing Address - Phone:678-937-6659
Mailing Address - Fax:
Practice Address - Street 1:3581 MAIN ST STE 105
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:GA
Practice Address - Zip Code:30337-2623
Practice Address - Country:US
Practice Address - Phone:678-937-6659
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-11-21
Last Update Date:2020-11-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251J00000XAgenciesNursing Care
No251F00000XAgenciesHome Infusion
No253Z00000XAgenciesIn Home Supportive Care