Provider Demographics
NPI:1285266296
Name:LOVEBIRD HOME CARE LLC
Entity type:Organization
Organization Name:LOVEBIRD HOME CARE LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GLORIA
Authorized Official - Middle Name:
Authorized Official - Last Name:BAKER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-269-5311
Mailing Address - Street 1:1921 RIDGE RD UNIT 1356
Mailing Address - Street 2:
Mailing Address - City:HOMEWOOD
Mailing Address - State:IL
Mailing Address - Zip Code:60430-4662
Mailing Address - Country:US
Mailing Address - Phone:708-580-6956
Mailing Address - Fax:866-709-7003
Practice Address - Street 1:4350 LINCOLN HWY STE 200
Practice Address - Street 2:
Practice Address - City:MATTESON
Practice Address - State:IL
Practice Address - Zip Code:60443-3084
Practice Address - Country:US
Practice Address - Phone:708-580-6956
Practice Address - Fax:866-709-7003
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2020-02-07
Last Update Date:2022-03-02
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based