=====================================================
General NPI Number Information
=====================================================
NPI Number | 1821952508
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOVING BRANCH HOMECARE
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 12/16/2025
-----------------------------------------------------
Last Update Date | 12/16/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 3311 WINDLAND DR
-----------------------------------------------------
City | FLINT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48504-1764
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 810-397-9228
-----------------------------------------------------
Fax | 833-762-0365
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 3311 WINDLAND DR
-----------------------------------------------------
City | FLINT
-----------------------------------------------------
State | MI
-----------------------------------------------------
Zip | 48504-1764
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 810-397-9228
-----------------------------------------------------
Fax | 833-762-0365
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | RENA ELAINE BRANCH
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 810-397-9228
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------