Healthcare Provider Details

I. General information

NPI: 1902739501
Provider Name (Legal Business Name): LOVING HANDS SUPPORT CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 06/04/2026
Last Update Date: 06/04/2026
Certification Date: 06/04/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1516 ALASKA DR
RICHMOND VA
23224-3107
US

IV. Provider business mailing address

4308 MCILWAINE DR
N DINWIDDIE VA
23803-9412
US

V. Phone/Fax

Practice location:
  • Phone: 757-994-2384
  • Fax:
Mailing address:
  • Phone: 757-994-2384
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code320900000X
TaxonomyIntellectual and/or Developmental Disabilities Community Based Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: ASIAH JACKSON
Title or Position: OWNER
Credential: RN
Phone: 757-994-2384