Provider Demographics
NPI:1972312049
Name:LOVING LIGHT HOME CARE LLC
Entity type:Organization
Organization Name:LOVING LIGHT HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MISS
Authorized Official - First Name:KAYLA
Authorized Official - Middle Name:IRENE
Authorized Official - Last Name:DOUGLAS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:978-877-8430
Mailing Address - Street 1:2 SHAKER RD STE B203
Mailing Address - Street 2:
Mailing Address - City:SHIRLEY
Mailing Address - State:MA
Mailing Address - Zip Code:01464-2583
Mailing Address - Country:US
Mailing Address - Phone:978-877-2242
Mailing Address - Fax:
Practice Address - Street 1:2 SHAKER RD STE B203
Practice Address - Street 2:
Practice Address - City:SHIRLEY
Practice Address - State:MA
Practice Address - Zip Code:01464-2583
Practice Address - Country:US
Practice Address - Phone:978-877-2242
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-01-03
Last Update Date:2025-02-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care