Provider Demographics
NPI:1457179624
Name:LOVEWELL LLC
Entity type:Organization
Organization Name:LOVEWELL LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:PARTNER/CFO
Authorized Official - Prefix:
Authorized Official - First Name:DERRICK
Authorized Official - Middle Name:
Authorized Official - Last Name:STRATMAN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:214-960-9561
Mailing Address - Street 1:825 WATTERS CREEK BLVD STE 205
Mailing Address - Street 2:
Mailing Address - City:ALLEN
Mailing Address - State:TX
Mailing Address - Zip Code:75013-3782
Mailing Address - Country:US
Mailing Address - Phone:214-960-9561
Mailing Address - Fax:
Practice Address - Street 1:825 WATTERS CREEK BLVD STE 205
Practice Address - Street 2:
Practice Address - City:ALLEN
Practice Address - State:TX
Practice Address - Zip Code:75013-3782
Practice Address - Country:US
Practice Address - Phone:214-960-9561
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-09-27
Last Update Date:2024-10-31
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care