Provider Demographics
NPI:1942773148
Name:LOVING HANDS HOME CARE AGENCY LLC
Entity Type:Organization
Organization Name:LOVING HANDS HOME CARE AGENCY LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:MR
Authorized Official - First Name:KIRK
Authorized Official - Middle Name:
Authorized Official - Last Name:LEWIS
Authorized Official - Suffix:
Authorized Official - Credentials:DIRECTOR OF NURSING
Authorized Official - Phone:517-719-0122
Mailing Address - Street 1:5700 EXECUTIVE DR STE 1
Mailing Address - Street 2:
Mailing Address - City:LANSING
Mailing Address - State:MI
Mailing Address - Zip Code:48911-5301
Mailing Address - Country:US
Mailing Address - Phone:517-489-3478
Mailing Address - Fax:517-887-9802
Practice Address - Street 1:806 S MAIN ST
Practice Address - Street 2:
Practice Address - City:EATON RAPIDS
Practice Address - State:MI
Practice Address - Zip Code:48827-1730
Practice Address - Country:US
Practice Address - Phone:517-663-6036
Practice Address - Fax:517-887-9802
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-01-10
Last Update Date:2019-01-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health