Provider Demographics
NPI:1104460971
Name:LOVINGPRIVATECARE71 LLC
Entity type:Organization
Organization Name:LOVINGPRIVATECARE71 LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:DANA
Authorized Official - Middle Name:
Authorized Official - Last Name:ROGERS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-207-0056
Mailing Address - Street 1:24020 SUNNYPOINT DR
Mailing Address - Street 2:
Mailing Address - City:SOUTHFIELD
Mailing Address - State:MI
Mailing Address - Zip Code:48033-2907
Mailing Address - Country:US
Mailing Address - Phone:248-802-1619
Mailing Address - Fax:248-200-7704
Practice Address - Street 1:24020 SUNNYPOINT DR
Practice Address - Street 2:
Practice Address - City:SOUTHFIELD
Practice Address - State:MI
Practice Address - Zip Code:48033-2907
Practice Address - Country:US
Practice Address - Phone:248-802-1619
Practice Address - Fax:248-200-7704
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-11-04
Last Update Date:2020-01-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes163WC0400XNursing Service ProvidersRegistered NurseCase ManagementGroup - Multi-Specialty