Healthcare Provider Details

I. General information

NPI: 1710707971
Provider Name (Legal Business Name): LOVING HEARTS CAREGIVER SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/14/2024
Last Update Date: 10/14/2024
Certification Date: 10/13/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

232 SAWDUST TRL
GREENFIELD IN
46140-2951
US

IV. Provider business mailing address

232 SAWDUST TRL
GREENFIELD IN
46140-2951
US

V. Phone/Fax

Practice location:
  • Phone: 317-418-0640
  • Fax:
Mailing address:
  • Phone: 317-418-0640
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: MICHELLE HOLMAN
Title or Position: OWNER/MANAGER
Credential:
Phone: 317-418-0640