Provider Demographics
| NPI: | 1124687355 |
|---|---|
| Name: | LOVING TOUCH CARE SERVICES LLC |
| Entity type: | Organization |
| Organization Name: | LOVING TOUCH CARE SERVICES LLC |
| Other - Org Name: | |
| Other - Org Type: | |
| Authorized Official - Title/Position: | EXECUTIVE |
| Authorized Official - Prefix: | MS |
| Authorized Official - First Name: | COURTNEY |
| Authorized Official - Middle Name: | CIEARROW |
| Authorized Official - Last Name: | BAILEY |
| Authorized Official - Suffix: | |
| Authorized Official - Credentials: | |
| Authorized Official - Phone: | 804-943-9188 |
| Mailing Address - Street 1: | 1621 BEXLEY DR |
| Mailing Address - Street 2: | |
| Mailing Address - City: | HOPEWELL |
| Mailing Address - State: | VA |
| Mailing Address - Zip Code: | 23860-6606 |
| Mailing Address - Country: | US |
| Mailing Address - Phone: | 804-943-9188 |
| Mailing Address - Fax: | 804-668-5537 |
| Practice Address - Street 1: | 1621 BEXLEY DR |
| Practice Address - Street 2: | |
| Practice Address - City: | HOPEWELL |
| Practice Address - State: | VA |
| Practice Address - Zip Code: | 23860-6606 |
| Practice Address - Country: | US |
| Practice Address - Phone: | 804-943-9188 |
| Practice Address - Fax: | 804-668-5537 |
| EIN: | <UNAVAIL> |
| Is Organization Subpart?: | No |
| Parent Organization LBN: | |
| Parent Organization TIN: | |
| Enumeration Date: | 2019-06-11 |
| Last Update Date: | 2019-09-16 |
| Deactivation Date: | |
| Deactivation Code: | |
| Reactivation Date: |
Provider Taxonomies
| Primary? | Code | Type | Classification | Specialization |
|---|---|---|---|---|
| Yes | 320900000X | Residential Treatment Facilities | Community Based Residential Treatment Facility, Intellectual and/or Developmental Disabilities |