Provider Demographics
NPI:1780975185
Name:LOVECREST HEALTHCARE INC.
Entity type:Organization
Organization Name:LOVECREST HEALTHCARE INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:MS
Authorized Official - First Name:JIMMY
Authorized Official - Middle Name:C
Authorized Official - Last Name:GRINAGE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:469-888-1443
Mailing Address - Street 1:6301 STONEWOOD DR
Mailing Address - Street 2:APT. 3005
Mailing Address - City:PLANO
Mailing Address - State:TX
Mailing Address - Zip Code:75024-5269
Mailing Address - Country:US
Mailing Address - Phone:469-888-1443
Mailing Address - Fax:972-596-6371
Practice Address - Street 1:6301 STONEWOOD DR
Practice Address - Street 2:APT. 3005
Practice Address - City:PLANO
Practice Address - State:TX
Practice Address - Zip Code:75024-5269
Practice Address - Country:US
Practice Address - Phone:469-888-1443
Practice Address - Fax:972-596-6371
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2011-04-20
Last Update Date:2011-04-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
TX251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health