Provider Demographics
NPI:1346085230
Name:LOVING HOME CARE LLC
Entity type:Organization
Organization Name:LOVING HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:DR
Authorized Official - First Name:ABIJAH
Authorized Official - Middle Name:L
Authorized Official - Last Name:MANGA
Authorized Official - Suffix:
Authorized Official - Credentials:PHD
Authorized Official - Phone:802-489-4927
Mailing Address - Street 1:22 BISSETTE DR
Mailing Address - Street 2:
Mailing Address - City:COLCHESTER
Mailing Address - State:VT
Mailing Address - Zip Code:05446-6407
Mailing Address - Country:US
Mailing Address - Phone:802-489-4927
Mailing Address - Fax:802-255-4530
Practice Address - Street 1:22 BISSETTE DR
Practice Address - Street 2:
Practice Address - City:COLCHESTER
Practice Address - State:VT
Practice Address - Zip Code:05446-6407
Practice Address - Country:US
Practice Address - Phone:802-489-4927
Practice Address - Fax:802-255-4530
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-07-01
Last Update Date:2024-08-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health