Provider Demographics
NPI:1346619640
Name:LOVE AND COMPANION IN-HOME CARE LLC
Entity type:Organization
Organization Name:LOVE AND COMPANION IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:MRS
Authorized Official - First Name:MARY
Authorized Official - Middle Name:JOHNSON
Authorized Official - Last Name:CAMPBELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:240-581-2523
Mailing Address - Street 1:PO BOX 737
Mailing Address - Street 2:
Mailing Address - City:COLLEGE PARK
Mailing Address - State:MD
Mailing Address - Zip Code:20741-0737
Mailing Address - Country:US
Mailing Address - Phone:240-581-2523
Mailing Address - Fax:855-581-6744
Practice Address - Street 1:9117 AUTOVILLE DR
Practice Address - Street 2:
Practice Address - City:COLLEGE PARK
Practice Address - State:MD
Practice Address - Zip Code:20740-1303
Practice Address - Country:US
Practice Address - Phone:240-581-2523
Practice Address - Fax:855-581-6744
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2015-09-17
Last Update Date:2015-09-17
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
251E00000X
MD253Z00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care