MEDICARE: LOVING HEART HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1043953037
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING HEART HOME CARE LLC

Provider Business Mailing Address
First Line	:	4764 FISHBURG RD STE CJK
Second Line	:
City	:	HUBER HEIGHTS
State	:	OH
Zip	:	45424-5456
Country	:	US
Telephone Number	:	937-559-3809
Fax Number	:	937-999-4338

Provider Business Practice Location Address
First Line	:	4764 FISHBURG RD STE CJK
Second Line	:
City	:	DAYTON
State	:	OH
Zip	:	45424-5456
Country	:	US
Telephone Number	:	937-559-3809
Fax Number	:	937-999-4338

Authorized Official
Title or Position	:	OWNER
Name	:	SVETLANA MURADOVA
Credential	:
Telephone Number	:	937-559-3809

Provider Enumeration Date	:	04/18/2022
Last Update Date	:	02/25/2026

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