Provider Demographics
NPI:1083586317
Name:GRACE & LOVING HEARTS CARE SERVICES LLC
Entity type:Organization
Organization Name:GRACE & LOVING HEARTS CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:EXECUTIVE DIRECTOR/ OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-402-6747
Mailing Address - Street 1:171 WESLEY REED DR
Mailing Address - Street 2:
Mailing Address - City:ATOKA
Mailing Address - State:TN
Mailing Address - Zip Code:38004-4949
Mailing Address - Country:US
Mailing Address - Phone:312-402-6747
Mailing Address - Fax:
Practice Address - Street 1:171 WESLEY REED DR
Practice Address - Street 2:
Practice Address - City:ATOKA
Practice Address - State:TN
Practice Address - Zip Code:38004-4949
Practice Address - Country:US
Practice Address - Phone:312-402-6747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:GRACE & LOVING HEARTS CARE SERVICES LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2025-09-17
Last Update Date:2025-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care