Provider Demographics
NPI:1255696837
Name:LOVING ARMS LLC
Entity type:Organization
Organization Name:LOVING ARMS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:SIDNEY
Authorized Official - Middle Name:P
Authorized Official - Last Name:COOK
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:304-923-8403
Mailing Address - Street 1:113 SHUMATE STREET
Mailing Address - Street 2:P.O. BOX 1423
Mailing Address - City:OAK HILL
Mailing Address - State:WV
Mailing Address - Zip Code:24874
Mailing Address - Country:US
Mailing Address - Phone:304-469-6339
Mailing Address - Fax:304-469-4517
Practice Address - Street 1:113 SHUMATE STREET
Practice Address - Street 2:
Practice Address - City:OAK HILL
Practice Address - State:WV
Practice Address - Zip Code:25901
Practice Address - Country:US
Practice Address - Phone:304-923-8403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2012-07-10
Last Update Date:2012-07-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
WV724-489343900000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes343900000XTransportation ServicesNon-emergency Medical Transport (VAN)