Provider Demographics
NPI:1932879061
Name:ALL LOVING HOME HEALTH CARE LLC
Entity Type:Organization
Organization Name:ALL LOVING HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:PAMELA
Authorized Official - Middle Name:
Authorized Official - Last Name:RUSIKE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-875-3275
Mailing Address - Street 1:8016 DOGWOOD LN
Mailing Address - Street 2:
Mailing Address - City:IRVING
Mailing Address - State:TX
Mailing Address - Zip Code:75063-7287
Mailing Address - Country:US
Mailing Address - Phone:214-875-3275
Mailing Address - Fax:
Practice Address - Street 1:11325 PEGASUS ST STE E157
Practice Address - Street 2:
Practice Address - City:DALLAS
Practice Address - State:TX
Practice Address - Zip Code:75238-5291
Practice Address - Country:US
Practice Address - Phone:214-875-3275
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-09-20
Last Update Date:2021-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty
Provider Identifiers
StateIdentifier IDID TypeIssuer
TX1760832596Medicaid