Provider Demographics
NPI:1720840473
Name:LOVED ONES ANGELS LLC
Entity Type:Organization
Organization Name:LOVED ONES ANGELS LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE OFFICER
Authorized Official - Prefix:
Authorized Official - First Name:OUMOU
Authorized Official - Middle Name:SELLY
Authorized Official - Last Name:BARO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:513-704-6008
Mailing Address - Street 1:11578 NEW HOPE DR
Mailing Address - Street 2:
Mailing Address - City:CINCINNATI
Mailing Address - State:OH
Mailing Address - Zip Code:45240-2110
Mailing Address - Country:US
Mailing Address - Phone:513-704-3608
Mailing Address - Fax:
Practice Address - Street 1:11578 NEW HOPE DR
Practice Address - Street 2:
Practice Address - City:CINCINNATI
Practice Address - State:OH
Practice Address - Zip Code:45240-2110
Practice Address - Country:US
Practice Address - Phone:513-704-3608
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-29
Last Update Date:2024-01-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health