MEDICARE: LOVINGHEART HOME HEALTHCARE

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	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1225521537
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVINGHEART HOME HEALTHCARE

Provider Business Mailing Address
First Line	:	4250 FAIRFAX DR STE 600
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1665
Country	:	US
Telephone Number	:
Fax Number	:

Provider Business Practice Location Address
First Line	:	4250 FAIRFAX DR STE 600
Second Line	:
City	:	ARLINGTON
State	:	VA
Zip	:	22203-1665
Country	:	US
Telephone Number	:	202-573-3350
Fax Number	:

Authorized Official
Title or Position	:	ADMINISTRATOR
Name	:	BLESSING EZE
Credential	:
Telephone Number	:	202-573-3350

Provider Enumeration Date	:	06/11/2018
Last Update Date	:	06/16/2018

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Directions to “LOVINGHEART HOME HEALTHCARE ” Practice Location

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