Healthcare Provider Details

I. General information

NPI: 1942099809
Provider Name (Legal Business Name): A LOVING PLACE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/06/2025
Last Update Date: 05/06/2025
Certification Date: 05/06/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

724 LANCASTER AVE
WAYNE PA
19087-2542
US

IV. Provider business mailing address

11427 FAIRPORT CIR
INDIANAPOLIS IN
46236-9017
US

V. Phone/Fax

Practice location:
  • Phone: 463-701-2598
  • Fax: 317-723-3038
Mailing address:
  • Phone: 463-701-2598
  • Fax:

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 Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: MRS. KAMIAHA LASHONN CROSS
Title or Position: OWNER
Credential:
Phone: 463-701-2598