Provider Demographics
NPI:1528463478
Name:SMITH'S LOVING HOME HEALTHCARE SERVICES LLC
Entity type:Organization
Organization Name:SMITH'S LOVING HOME HEALTHCARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CLINICAL DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:KIMBERLY
Authorized Official - Middle Name:
Authorized Official - Last Name:SMITH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:313-425-6161
Mailing Address - Street 1:29921 MERIDIAN PL APT 17204
Mailing Address - Street 2:
Mailing Address - City:FARMINGTON HILLS
Mailing Address - State:MI
Mailing Address - Zip Code:48331-5871
Mailing Address - Country:US
Mailing Address - Phone:313-425-6161
Mailing Address - Fax:
Practice Address - Street 1:29921 MERIDIAN PL APT 17204
Practice Address - Street 2:
Practice Address - City:FARMINGTON HILLS
Practice Address - State:MI
Practice Address - Zip Code:48331-5871
Practice Address - Country:US
Practice Address - Phone:313-425-6161
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2014-11-04
Last Update Date:2016-08-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIE2931T251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health