Provider Demographics
NPI:1770949851
Name:LOVED ONES HONORED HOME CARE LLC
Entity type:Organization
Organization Name:LOVED ONES HONORED HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:NICOLE
Authorized Official - Middle Name:BRANDY
Authorized Official - Last Name:PATTERSON
Authorized Official - Suffix:
Authorized Official - Credentials:RN, BSN
Authorized Official - Phone:800-676-2518
Mailing Address - Street 1:2340 E TRINITY MILLS RD
Mailing Address - Street 2:SUITE 300
Mailing Address - City:CARROLLTON
Mailing Address - State:TX
Mailing Address - Zip Code:75006-1942
Mailing Address - Country:US
Mailing Address - Phone:800-676-2518
Mailing Address - Fax:
Practice Address - Street 1:2340 E TRINITY MILLS RD
Practice Address - Street 2:SUITE 300
Practice Address - City:CARROLLTON
Practice Address - State:TX
Practice Address - Zip Code:75006-1942
Practice Address - Country:US
Practice Address - Phone:800-676-2518
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-01-05
Last Update Date:2017-04-11
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care