Provider Demographics
NPI:1740645993
Name:THOMPSON'S LOVING CARE
Entity type:Organization
Organization Name:THOMPSON'S LOVING CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:KHADIJAH
Authorized Official - Middle Name:
Authorized Official - Last Name:SEAWOOD
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:616-427-5779
Mailing Address - Street 1:PO BOX 8572
Mailing Address - Street 2:
Mailing Address - City:KENTWOOD
Mailing Address - State:MI
Mailing Address - Zip Code:49518-8572
Mailing Address - Country:US
Mailing Address - Phone:616-427-5779
Mailing Address - Fax:
Practice Address - Street 1:5046 E FALLING LEAF DR SE
Practice Address - Street 2:
Practice Address - City:KENTWOOD
Practice Address - State:MI
Practice Address - Zip Code:49512-8572
Practice Address - Country:US
Practice Address - Phone:616-427-5779
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-12-15
Last Update Date:2015-12-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health