Provider Demographics
NPI:1194514836
Name:LOVEREIGN CARE SERVICES LLC
Entity type:Organization
Organization Name:LOVEREIGN CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:BUNMI
Authorized Official - Middle Name:ADEOLA
Authorized Official - Last Name:ADELUSI
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:973-336-0703
Mailing Address - Street 1:30 UNION ST STE 37
Mailing Address - Street 2:
Mailing Address - City:ELIZABETH
Mailing Address - State:NJ
Mailing Address - Zip Code:07202-2178
Mailing Address - Country:US
Mailing Address - Phone:973-336-0703
Mailing Address - Fax:
Practice Address - Street 1:30 UNION ST STE 37
Practice Address - Street 2:
Practice Address - City:ELIZABETH
Practice Address - State:NJ
Practice Address - Zip Code:07202-2178
Practice Address - Country:US
Practice Address - Phone:973-336-0703
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-04-30
Last Update Date:2025-04-30
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health