Healthcare Provider Details

I. General information

NPI: 1831320951
Provider Name (Legal Business Name): LOVING CARE SITTING SERVICE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/06/2009
Last Update Date: 08/06/2009
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

827 CAUSEWAY BLVD SUITE 203
JEFFERSON LA
70121-2738
US

IV. Provider business mailing address

827 CAUSEWAY BLVD SUITE 203
JEFFERSON LA
70121-2738
US

V. Phone/Fax

Practice location:
  • Phone: 337-367-0364
  • Fax:
Mailing address:
  • Phone:
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number1178641
License Number StateLA

VIII. Authorized Official

Name: TRINA JENKINS
Title or Position: CEO
Credential:
Phone: 337-367-0364