Healthcare Provider Details

I. General information

NPI: 1184545857
Provider Name (Legal Business Name): LOVING ANGELS HOME HEALTH LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/21/2026
Last Update Date: 07/21/2026
Certification Date: 07/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

830 N MAIN ST
WICHITA KS
67203-3605
US

IV. Provider business mailing address

830 N MAIN ST
WICHITA KS
67203-3605
US

V. Phone/Fax

Practice location:
  • Phone: 316-409-7724
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number StateNULL
# 2
Primary TaxonomyY
Taxonomy Code163WH0200X
TaxonomyHome Health Registered Nurse
License Number
License Number StateNULL

VIII. Authorized Official

Name: MONDAY AKINTUYI
Title or Position: AUTHORIZED OFFICIAL
Credential: RN
Phone: 316-409-7724