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 |