Provider Demographics
NPI:1780165332
Name:LOVE AND MERCY HOMECARE SOLUTIONS
Entity type:Organization
Organization Name:LOVE AND MERCY HOMECARE SOLUTIONS
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING
Authorized Official - Prefix:
Authorized Official - First Name:KRISTIN
Authorized Official - Middle Name:
Authorized Official - Last Name:BECKHOLT
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:586-281-6280
Mailing Address - Street 1:53815 SUNDERLAND DR
Mailing Address - Street 2:
Mailing Address - City:SHELBY TWP
Mailing Address - State:MI
Mailing Address - Zip Code:48316-1962
Mailing Address - Country:US
Mailing Address - Phone:248-379-7935
Mailing Address - Fax:
Practice Address - Street 1:67150 VAN DYKE RD STE 200
Practice Address - Street 2:
Practice Address - City:WASHINGTON
Practice Address - State:MI
Practice Address - Zip Code:48095-1479
Practice Address - Country:US
Practice Address - Phone:586-281-6280
Practice Address - Fax:586-281-6841
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-08-22
Last Update Date:2023-02-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care