Healthcare Provider Details

I. General information

NPI: 1952252199
Provider Name (Legal Business Name): LOVE AND CARE HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 02/04/2026
Last Update Date: 07/30/2026
Certification Date: 07/30/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2525 PONTIAC LAKE RD # 400
WATERFORD MI
48328-2745
US

IV. Provider business mailing address

2525 PONTIAC LAKE RD # 400
WATERFORD MI
48328-2745
US

V. Phone/Fax

Practice location:
  • Phone: 248-766-1725
  • Fax:
Mailing address:
  • Phone: 248-766-1725
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

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

VIII. Authorized Official

Name: KHALEAH KING
Title or Position: OWNER
Credential:
Phone: 248-916-5754