Provider Demographics
NPI:1780322115
Name:LOVE ONE HOME HEALTHCARE
Entity type:Organization
Organization Name:LOVE ONE HOME HEALTHCARE
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:CHRISTINA
Authorized Official - Middle Name:
Authorized Official - Last Name:ABANGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-486-1388
Mailing Address - Street 1:7211 HANOVER PKWY STE A
Mailing Address - Street 2:
Mailing Address - City:GREENBELT
Mailing Address - State:MD
Mailing Address - Zip Code:20770-2017
Mailing Address - Country:US
Mailing Address - Phone:240-486-1388
Mailing Address - Fax:301-349-1186
Practice Address - Street 1:7211 HANOVER PKWY
Practice Address - Street 2:SUITE A AND B
Practice Address - City:GREENBELT
Practice Address - State:MD
Practice Address - Zip Code:20770-2017
Practice Address - Country:US
Practice Address - Phone:301-773-4595
Practice Address - Fax:301-349-1186
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOVE ONE HOME HEALTHCARE
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2022-05-25
Last Update Date:2023-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes261QM0801XAmbulatory Health Care FacilitiesClinic/CenterMental Health (Including Community Mental Health Center)
Provider Identifiers
StateIdentifier IDID TypeIssuer
MD800022100Medicaid