Provider Demographics
NPI:1164815015
Name:LOVING HEART LLC
Entity type:Organization
Organization Name:LOVING HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:EUN JUNG
Authorized Official - Middle Name:
Authorized Official - Last Name:SUH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:703-762-9999
Mailing Address - Street 1:14637 ROUTE 29 # C-204
Mailing Address - Street 2:
Mailing Address - City:CENTREVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:20121-5829
Mailing Address - Country:US
Mailing Address - Phone:703-762-9999
Mailing Address - Fax:703-832-6100
Practice Address - Street 1:14637 ROUTE 29 # C-204
Practice Address - Street 2:
Practice Address - City:CENTREVILLE
Practice Address - State:VA
Practice Address - Zip Code:20121-5829
Practice Address - Country:US
Practice Address - Phone:703-762-9999
Practice Address - Fax:730-832-6100
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-03-16
Last Update Date:2025-10-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
No251E00000XAgenciesHome Health
No385H00000XRespite Care FacilityRespite CareGroup - Single Specialty