Provider Demographics
NPI:1205582392
Name:LOVELLE COMPASSIONATE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:LOVELLE COMPASSIONATE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PASHAE
Authorized Official - Middle Name:
Authorized Official - Last Name:HAWKINS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-665-5558
Mailing Address - Street 1:5845 SUNNYSIDE RD STE 800-C
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46235-8402
Mailing Address - Country:US
Mailing Address - Phone:317-665-5558
Mailing Address - Fax:
Practice Address - Street 1:5845 SUNNYSIDE RD STE 800-C
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46235-8402
Practice Address - Country:US
Practice Address - Phone:317-665-5558
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-02-27
Last Update Date:2022-03-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care