1023268984 NPI number — LOVING HOME CARE, INC.

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1023268984 NPI number — LOVING HOME CARE, INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOVING HOME CARE, INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1023268984
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
09/26/2008
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
702 ANDREW JACKSON WAY NE
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
HUNTSVILLE
Provider Business Mailing Address State Name:
AL
Provider Business Mailing Address Postal Code:
35801-3503
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
256-489-5182
Provider Business Mailing Address Fax Number:
256-489-5168

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
702 ANDREW JACKSON WAY NE
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
HUNTSVILLE
Provider Business Practice Location Address State Name:
AL
Provider Business Practice Location Address Postal Code:
35801-3503
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
256-489-5182
Provider Business Practice Location Address Fax Number:
256-489-5168
Provider Enumeration Date:
09/26/2008

Additional Information

			
		

Authorized Official

Authorized Official Last Name:
BURT
Authorized Official First Name:
NANETTE
Authorized Official Middle Name:
ALEXANDER
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
256-655-5471

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , registered in the state of AL ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)