Provider Demographics
NPI:1356474159
Name:LOVE AND MERCY HOME HEALTHCARE, LLC
Entity type:Organization
Organization Name:LOVE AND MERCY HOME HEALTHCARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSES
Authorized Official - Prefix:
Authorized Official - First Name:ANTHONY
Authorized Official - Middle Name:OSAGHAE
Authorized Official - Last Name:EHIKHAMHEN
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:781-326-6200
Mailing Address - Street 1:30 EASTBROOK RD
Mailing Address - Street 2:403
Mailing Address - City:DEDHAM
Mailing Address - State:MA
Mailing Address - Zip Code:02026-2048
Mailing Address - Country:US
Mailing Address - Phone:781-326-6200
Mailing Address - Fax:781-326-0707
Practice Address - Street 1:30 EASTBROOK RD
Practice Address - Street 2:403
Practice Address - City:DEDHAM
Practice Address - State:MA
Practice Address - Zip Code:02026-2048
Practice Address - Country:US
Practice Address - Phone:781-326-6200
Practice Address - Fax:781-326-0707
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-03-13
Last Update Date:2014-07-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MA231042251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health