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NPI Code Detail

MEDICARE: TANESHA'S LOVING IN HOME CARE LLC

MEDICARE: TANESHA'S LOVING IN 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
1253Z00000XIn Home Supportive Care Agency

General Provider Information

NPI Number : 1508700816
Entity Type Code : Organization
Provider Name (Legal Business Name) : TANESHA'S LOVING IN HOME CARE LLC
Provider Business Mailing Address
First Line : 9745 E HAMPTON AVE UNIT 1080
Second Line :
City : MESA
State : AZ
Zip : 85209-6287
Country : US
Telephone Number :
Fax Number :
Provider Business Practice Location Address
First Line : 9745 E HAMPTON AVE UNIT 1080
Second Line :
City : MESA
State : AZ
Zip : 85209-6287
Country : US
Telephone Number : 219-545-2297
Fax Number :
Authorized Official
Title or Position : OWNER/PRESIDENT
Name : TAMIA WILSON
Credential :
Telephone Number : 219-545-2297
Provider Enumeration Date : 04/16/2026
Last Update Date : 04/16/2026

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Directions to “TANESHA'S LOVING IN HOME CARE LLC ” Practice Location

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