Provider Demographics
NPI:1780055376
Name:LOTS OF LOVE CONSUMER DIRECTED SERVICES
Entity type:Organization
Organization Name:LOTS OF LOVE CONSUMER DIRECTED SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:CHRISTIAN
Authorized Official - Middle Name:
Authorized Official - Last Name:LOMAX
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:314-393-1909
Mailing Address - Street 1:2559 HACKMAN DR.
Mailing Address - Street 2:
Mailing Address - City:SAINT LOUIS
Mailing Address - State:MO
Mailing Address - Zip Code:63136
Mailing Address - Country:US
Mailing Address - Phone:314-716-3379
Mailing Address - Fax:314-677-3516
Practice Address - Street 1:2559 HACKMAN DRIVE
Practice Address - Street 2:
Practice Address - City:SAINT LOUIS
Practice Address - State:MO
Practice Address - Zip Code:63136
Practice Address - Country:US
Practice Address - Phone:314-716-3379
Practice Address - Fax:314-677-3516
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOTS OF LOVE CONSUMER DIRECTED SERVICES
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2015-10-08
Last Update Date:2015-10-08
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MOLC001447003253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care