Healthcare Provider Details

I. General information

NPI: 1851906036
Provider Name (Legal Business Name): LOVING CARE HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/14/2020
Last Update Date: 09/14/2020
Certification Date: 09/14/2020
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1715 7TH AVE N
BESSEMER AL
35020-4856
US

IV. Provider business mailing address

1715 7TH AVE N
BESSEMER AL
35020-4856
US

V. Phone/Fax

Practice location:
  • Phone: 205-434-3235
  • Fax:
Mailing address:
  • Phone: 205-434-3235
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code171WH0202X
TaxonomyHome Modifications Contractor
License Number
License Number State

VIII. Authorized Official

Name: LATESIA RANCHER
Title or Position: CEO/FOUNDER
Credential:
Phone: 205-243-3366