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NPI Code Detail

MEDICARE: LOVING LIGHT CARE LLC

MEDICARE: LOVING LIGHT 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
1374U00000XHome Health Aide

General Provider Information

NPI Number : 1235085119
Entity Type Code : Organization
Provider Name (Legal Business Name) : LOVING LIGHT CARE LLC
Provider Business Mailing Address
First Line : 1914 SHERIDAN ST
Second Line :
City : MADISON
State : WI
Zip : 53704-4028
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 1914 SHERIDAN ST
Second Line :
City : MADISON
State : WI
Zip : 53704-4028
Country : US
Telephone Number : 608-886-1646
Fax Number :
Authorized Official
Title or Position : OWNER
Name : KHADRA SHEGOW
Credential :
Telephone Number : 608-886-1646
Provider Enumeration Date : 03/04/2026
Last Update Date : 03/04/2026

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Directions to “LOVING LIGHT CARE LLC ” Practice Location

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