Provider Demographics
NPI:1831621473
Name:LOVE@HOME DIRECT SERVICES
Entity type:Organization
Organization Name:LOVE@HOME DIRECT SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:JUAN
Authorized Official - Middle Name:
Authorized Official - Last Name:MARTINEZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-417-6403
Mailing Address - Street 1:2914 PRESCOTT DR
Mailing Address - Street 2:
Mailing Address - City:GARLAND
Mailing Address - State:TX
Mailing Address - Zip Code:75041-3312
Mailing Address - Country:US
Mailing Address - Phone:214-417-6403
Mailing Address - Fax:
Practice Address - Street 1:2914 PRESCOTT DR
Practice Address - Street 2:
Practice Address - City:GARLAND
Practice Address - State:TX
Practice Address - Zip Code:75041-3312
Practice Address - Country:US
Practice Address - Phone:214-417-6403
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-03
Last Update Date:2017-04-03
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health