Healthcare Provider Details

I. General information

NPI: 1790569226
Provider Name (Legal Business Name): REAL LOVING CARE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/24/2023
Last Update Date: 08/24/2023
Certification Date: 08/23/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

29 JACKSON ST
HUBBARD OH
44425-1773
US

IV. Provider business mailing address

361 W INDIANOLA AVE
YOUNGSTOWN OH
44511-2452
US

V. Phone/Fax

Practice location:
  • Phone: 330-568-4098
  • Fax: 330-568-4162
Mailing address:
  • Phone: 234-855-0044
  • Fax: 330-568-4098

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code372500000X
TaxonomyChore Provider
License Number
License Number State

VIII. Authorized Official

Name: MR. JUSTIN PATTERSON
Title or Position: OWNER
Credential:
Phone: 330-568-4098