Healthcare Provider Details

I. General information

NPI: 1851908669
Provider Name (Legal Business Name): LOVING HEART CAREGIVERS
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/25/2020
Last Update Date: 07/31/2024
Certification Date: 07/31/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9482 LAKEVIEW RD
UNION CITY GA
30291-6046
US

IV. Provider business mailing address

1198 CREEK CROSSING DR
MCDONOUGH GA
30252-1632
US

V. Phone/Fax

Practice location:
  • Phone: 678-866-5616
  • Fax:
Mailing address:
  • Phone: 678-866-5616
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LATOYA NELSON
Title or Position: OWNER
Credential:
Phone: 678-866-5616