Healthcare Provider Details

I. General information

NPI: 1699321877
Provider Name (Legal Business Name): LOVING CHOICE SENIOR CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/14/2019
Last Update Date: 02/23/2021
Certification Date: 02/23/2021
Deactivation Date:
Reactivation Date:

III. Provider practice location address

12800 YORK RD STE B1
NORTH ROYALTON OH
44133-3683
US

IV. Provider business mailing address

12800 YORK RD STE B1
NORTH ROYALTON OH
44133-3683
US

V. Phone/Fax

Practice location:
  • Phone: 440-791-2273
  • Fax: 440-569-4646
Mailing address:
  • Phone: 440-791-2273
  • Fax: 440-569-4646

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code374U00000X
TaxonomyHome Health Aide
License Number
License Number State

VIII. Authorized Official

Name: GERALDINE LANIGAN
Title or Position: PRESIDENT/OWNER
Credential:
Phone: 440-791-2273