Healthcare Provider Details

I. General information

NPI: 1982490637
Provider Name (Legal Business Name): LOVING TOUCH CARE COMPANIONS LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/18/2025
Last Update Date: 04/18/2025
Certification Date: 04/10/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

22503 GRAD RIVER AVE. UNIT 19221
DETROIT MI
48219
US

IV. Provider business mailing address

22503 GRAD RIVER AVE. UNIT 19221
DETROIT MI
48219
US

V. Phone/Fax

Practice location:
  • Phone: 313-595-6682
  • Fax:
Mailing address:
  • Phone: 313-595-6682
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code171M00000X
TaxonomyCase Manager/Care Coordinator
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code174200000X
TaxonomyMeals Provider
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code374J00000X
TaxonomyDoula
License Number
License Number State

VIII. Authorized Official

Name: YULANDA MCGAUGHY-HOLMAN
Title or Position: ADMINISTRATOR
Credential:
Phone: 313-595-6682