Healthcare Provider Details

I. General information

NPI: 1437936705
Provider Name (Legal Business Name): LOVING HANDS HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/11/2023
Last Update Date: 09/20/2023
Certification Date: 09/20/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1220 FOX RUN AVE STE 112
OPELIKA AL
36801-6168
US

IV. Provider business mailing address

1220 FOX RUN AVE STE 112
OPELIKA AL
36801-6168
US

V. Phone/Fax

Practice location:
  • Phone: 334-275-9741
  • Fax: 334-275-9742
Mailing address:
  • Phone: 334-275-9741
  • Fax: 334-275-9742

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: MS. KATINA L DRIVER
Title or Position: NURSES MANAGER
Credential: RN
Phone: 334-332-3845