Provider Demographics
NPI:1215738745
Name:KU4LOVE HOME HEALTH LLC
Entity type:Organization
Organization Name:KU4LOVE HOME HEALTH LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:LICENSED PRACTICAL NURSE
Authorized Official - Prefix:
Authorized Official - First Name:LONGCHI
Authorized Official - Middle Name:NDONGLA
Authorized Official - Last Name:KUFOR
Authorized Official - Suffix:
Authorized Official - Credentials:LPN
Authorized Official - Phone:612-458-7768
Mailing Address - Street 1:21854 DENTON AVE
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON
Mailing Address - State:MN
Mailing Address - Zip Code:55024-6012
Mailing Address - Country:US
Mailing Address - Phone:612-458-7768
Mailing Address - Fax:
Practice Address - Street 1:21854 DENTON AVE
Practice Address - Street 2:
Practice Address - City:FARMINGTON
Practice Address - State:MN
Practice Address - Zip Code:55024-6012
Practice Address - Country:US
Practice Address - Phone:612-458-7768
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-03-21
Last Update Date:2025-03-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251J00000XAgenciesNursing Care
No253Z00000XAgenciesIn Home Supportive Care