Provider Demographics
NPI:1336560176
Name:LOVE MY NURSE LLC
Entity Type:Organization
Organization Name:LOVE MY NURSE LLC
Other - Org Name:LOVE MY NURSE HOME HEALTH
Other - Org Type:Doing Business As
Authorized Official - Title/Position:CEO/ADMINISTRATOR
Authorized Official - Prefix:MR
Authorized Official - First Name:SETH
Authorized Official - Middle Name:COLLIN
Authorized Official - Last Name:ARMSTRONG
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:316-641-4427
Mailing Address - Street 1:2020 N WEBB RD
Mailing Address - Street 2:#203
Mailing Address - City:WICHITA
Mailing Address - State:KS
Mailing Address - Zip Code:67206-3407
Mailing Address - Country:US
Mailing Address - Phone:316-633-9578
Mailing Address - Fax:316-440-7075
Practice Address - Street 1:2020 N WEBB RD
Practice Address - Street 2:#203
Practice Address - City:WICHITA
Practice Address - State:KS
Practice Address - Zip Code:67206-3407
Practice Address - Country:US
Practice Address - Phone:316-633-9578
Practice Address - Fax:316-440-7075
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-12-20
Last Update Date:2016-07-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
KSA087168251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
KSA087168OtherSTATE OF KANSAS HOME HEALTH AGENCY LICENSE NUMUBER
KS17-8104OtherHOME HEALTH MEDICARE CERTIFICATION (CHAP)