Provider Demographics
NPI:1285271825
Name:LOVING HOME CARE, LLC
Entity type:Organization
Organization Name:LOVING HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:AISHA
Authorized Official - Middle Name:
Authorized Official - Last Name:LBHALLA
Authorized Official - Suffix:
Authorized Official - Credentials:BSC CSA
Authorized Official - Phone:615-301-8507
Mailing Address - Street 1:5424 BELL FORGE LANE E.
Mailing Address - Street 2:# 1022
Mailing Address - City:ANTIOCH
Mailing Address - State:TN
Mailing Address - Zip Code:37013-2308
Mailing Address - Country:US
Mailing Address - Phone:615-301-8507
Mailing Address - Fax:
Practice Address - Street 1:5424 BELL FORGE LN E # 1022
Practice Address - Street 2:
Practice Address - City:ANTIOCH
Practice Address - State:TN
Practice Address - Zip Code:37013-8300
Practice Address - Country:US
Practice Address - Phone:615-301-8507
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-12-03
Last Update Date:2023-03-22
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251E00000XAgenciesHome Health
No251G00000XAgenciesHospice Care, Community Based
No251S00000XAgenciesCommunity/Behavioral Health
No385H00000XRespite Care FacilityRespite Care