Provider Demographics
NPI:1932626983
Name:LOVING HANDS HOMECARE LLC
Entity Type:Organization
Organization Name:LOVING HANDS HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:ANTILA
Authorized Official - Middle Name:
Authorized Official - Last Name:DANIELS
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:330-978-5187
Mailing Address - Street 1:2504 TRENTWOOD DR SE
Mailing Address - Street 2:
Mailing Address - City:WARREN
Mailing Address - State:OH
Mailing Address - Zip Code:44484-3773
Mailing Address - Country:US
Mailing Address - Phone:330-978-5187
Mailing Address - Fax:
Practice Address - Street 1:1457 CENTRAL PARKWAY AVE SE
Practice Address - Street 2:
Practice Address - City:WARREN
Practice Address - State:OH
Practice Address - Zip Code:44484-4458
Practice Address - Country:US
Practice Address - Phone:330-978-5187
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-08-29
Last Update Date:2017-08-29
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health