Provider Demographics
NPI:1801326699
Name:LOVING HEARTS FAMILY CARE
Entity type:Organization
Organization Name:LOVING HEARTS FAMILY CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:ZAD
Authorized Official - Middle Name:THOMAS
Authorized Official - Last Name:WHITE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:248-670-9787
Mailing Address - Street 1:PO BOX 37618
Mailing Address - Street 2:
Mailing Address - City:OAK PARK
Mailing Address - State:MI
Mailing Address - Zip Code:48237-0618
Mailing Address - Country:US
Mailing Address - Phone:248-670-9787
Mailing Address - Fax:248-808-6944
Practice Address - Street 1:24110 OUTER DR
Practice Address - Street 2:
Practice Address - City:MELVINDALE
Practice Address - State:MI
Practice Address - Zip Code:48122-1644
Practice Address - Country:US
Practice Address - Phone:248-670-9787
Practice Address - Fax:248-670-9787
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-06-14
Last Update Date:2019-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes1041C0700XBehavioral Health & Social Service ProvidersSocial WorkerClinicalGroup - Single Specialty
No261QA0600XAmbulatory Health Care FacilitiesClinic/CenterAdult Day CareGroup - Single Specialty