Healthcare Provider Details

I. General information

NPI: 1962129973
Provider Name (Legal Business Name): BELOVED HOME CARE SERVICES LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/21/2022
Last Update Date: 10/01/2025
Certification Date: 10/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

345 CARROLL ST
YOUNGSTOWN OH
44502-1701
US

IV. Provider business mailing address

345 CARROLL ST
YOUNGSTOWN OH
44502-1701
US

V. Phone/Fax

Practice location:
  • Phone: 330-261-7029
  • Fax:
Mailing address:
  • Phone: 234-228-8421
  • Fax: 330-649-2566

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. TALEISHA LASHAY JONES
Title or Position: OWNER
Credential:
Phone: 330-330-4190