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General NPI Number Information
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NPI Number | 1164815015
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Entity Type | Organization
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Legal Business Name | LOVING HEART LLC
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Dates
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Enumeration Date | 03/16/2015
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Last Update Date | 10/09/2025
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Provider Practice Location Address
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Address Line | 14637 ROUTE 29 # C-204
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City | CENTREVILLE
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State | VA
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Zip | 20121-5829
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Country | US
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Telephone | 703-762-9999
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Fax | 730-832-6100
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Provider Business Mailing Address
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Address Line | 14637 ROUTE 29 # C-204
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City | CENTREVILLE
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State | VA
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Zip | 20121-5829
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Country | US
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Telephone | 703-762-9999
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Fax | 703-832-6100
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Authorized Official
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Title or Position | ADMINISTRATOR
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Name | EUN JUNG SUH
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Credential |
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Telephone | 703-762-9999
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Scope of Practice (Provider's specialty)
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Taxonomy #1
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Taxonomy Code | 251E00000X
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Taxonomy Name | Home Health Agency
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License Number |
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License Number State |
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Taxonomy #2
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Taxonomy Code | 385H00000X
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Taxonomy Name | Respite Care
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License Number |
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License Number State |
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Taxonomy #3
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Taxonomy Code | 3747P1801X
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Taxonomy Name | Personal Care Attendant
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License Number |
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License Number State |
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