Provider Demographics
NPI:1588398523
Name:LOVINGCARE HOME CARE SERVICES LLC
Entity type:Organization
Organization Name:LOVINGCARE HOME CARE SERVICES LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:MIRIAM
Authorized Official - Middle Name:
Authorized Official - Last Name:HOLLIDAY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:601-480-6776
Mailing Address - Street 1:PO BOX 1754
Mailing Address - Street 2:
Mailing Address - City:JASPER
Mailing Address - State:FL
Mailing Address - Zip Code:32052-1754
Mailing Address - Country:US
Mailing Address - Phone:601-480-6776
Mailing Address - Fax:601-207-5095
Practice Address - Street 1:1102 US HIGHWAY 41 NW STE A
Practice Address - Street 2:
Practice Address - City:JASPER
Practice Address - State:FL
Practice Address - Zip Code:32052
Practice Address - Country:US
Practice Address - Phone:601-480-6776
Practice Address - Fax:601-480-6776
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-07-14
Last Update Date:2022-07-19
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health