Provider Demographics
NPI: | 1063219079 |
---|---|
Name: | DOCS LOVING HOME CARE LLC |
Entity type: | Organization |
Organization Name: | DOCS LOVING HOME CARE LLC |
Other - Org Name: | |
Other - Org Type: | |
Authorized Official - Title/Position: | OWNER |
Authorized Official - Prefix: | |
Authorized Official - First Name: | ALESIA |
Authorized Official - Middle Name: | |
Authorized Official - Last Name: | WHITE |
Authorized Official - Suffix: | |
Authorized Official - Credentials: | |
Authorized Official - Phone: | 540-330-5454 |
Mailing Address - Street 1: | 3451 BRANDON AVE SW STE 5 |
Mailing Address - Street 2: | |
Mailing Address - City: | ROANOKE |
Mailing Address - State: | VA |
Mailing Address - Zip Code: | 24018-1548 |
Mailing Address - Country: | US |
Mailing Address - Phone: | 540-330-5454 |
Mailing Address - Fax: | |
Practice Address - Street 1: | 1238 DALE AVE SE |
Practice Address - Street 2: | |
Practice Address - City: | ROANOKE |
Practice Address - State: | VA |
Practice Address - Zip Code: | 24013-1522 |
Practice Address - Country: | US |
Practice Address - Phone: | 540-330-5454 |
Practice Address - Fax: | |
EIN: | <UNAVAIL> |
Is Organization Subpart?: | No |
Parent Organization LBN: | |
Parent Organization TIN: | |
Enumeration Date: | 2025-02-26 |
Last Update Date: | 2025-02-26 |
Deactivation Date: | |
Deactivation Code: | |
Reactivation Date: |
Provider Taxonomies
Primary? | Code | Type | Classification | Specialization | Group |
---|---|---|---|---|---|
Yes | 3747P1801X | Nursing Service Related Providers | Technician | Personal Care Attendant | Group - Multi-Specialty |
No | 385H00000X | Respite Care Facility | Respite Care | Group - Multi-Specialty |