Healthcare Provider Details

I. General information

NPI: 1235891656
Provider Name (Legal Business Name): LOVED ONES HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/13/2021
Last Update Date: 10/13/2021
Certification Date: 10/13/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1370 ELECTRIC AVE
LINCOLN PARK MI
48146-1887
US

IV. Provider business mailing address

PO BOX 2440
TAYLOR MI
48180-7040
US

V. Phone/Fax

Practice location:
  • Phone: 313-652-3328
  • Fax:
Mailing address:
  • Phone: 313-652-3328
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code251J00000X
TaxonomyNursing Care Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: LINDA BELL MCFADDEN
Title or Position: OWNER
Credential: OWNER
Phone: 734-890-7463