Provider Demographics
NPI:1942820063
Name:LOVING HEARTS HOME CARE LLC
Entity Type:Organization
Organization Name:LOVING HEARTS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:ANGEL
Authorized Official - Middle Name:SHARRON
Authorized Official - Last Name:CHAPMAN
Authorized Official - Suffix:
Authorized Official - Credentials:CEO/ADMINISTRATOR
Authorized Official - Phone:314-494-1887
Mailing Address - Street 1:1409 WASHINGTON AVE STE 416
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63103-1917
Mailing Address - Country:US
Mailing Address - Phone:314-390-2888
Mailing Address - Fax:314-390-2885
Practice Address - Street 1:1409 WASHINGTON AVE STE 416
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63103-1917
Practice Address - Country:US
Practice Address - Phone:314-390-2888
Practice Address - Fax:314-390-2885
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-04-18
Last Update Date:2020-04-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes253Z00000XAgenciesIn Home Supportive CareGroup - Single Specialty
No376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty
No385H00000XRespite Care FacilityRespite Care