Provider Demographics
NPI:1063905917
Name:A LOVING HEART LLC
Entity type:Organization
Organization Name:A LOVING HEART LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PANSY
Authorized Official - Middle Name:SMITH
Authorized Official - Last Name:BARNER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:804-370-6009
Mailing Address - Street 1:PO BOX 843
Mailing Address - Street 2:
Mailing Address - City:LAWRENCEVILLE
Mailing Address - State:VA
Mailing Address - Zip Code:23868-0843
Mailing Address - Country:US
Mailing Address - Phone:804-370-6009
Mailing Address - Fax:
Practice Address - Street 1:2377 OLD STAGE ROAD
Practice Address - Street 2:
Practice Address - City:LAWRENCEVILLE
Practice Address - State:VA
Practice Address - Zip Code:23868
Practice Address - Country:US
Practice Address - Phone:804-370-6009
Practice Address - Fax:888-229-5355
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2018-06-14
Last Update Date:2018-06-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health