MEDICARE: LUVING HANDS HOME CARE LLC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	253Z00000X	In Home Supportive Care Agency

General Provider Information

NPI Number	:	1093556227
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LUVING HANDS HOME CARE LLC

Provider Business Mailing Address
First Line	:	10097 NEW DAWN PL
Second Line	:
City	:	AVON
State	:	IN
Zip	:	46123-6652
Country	:	US
Telephone Number	:	317-506-6075
Fax Number	:

Provider Business Practice Location Address
First Line	:	10097 NEW DAWN PL
Second Line	:
City	:	AVON
State	:	IN
Zip	:	46123-6652
Country	:	US
Telephone Number	:	317-506-6075
Fax Number	:

Authorized Official
Title or Position	:	CEO
Name	:	KATHERINE COOK
Credential	:
Telephone Number	:	317-506-6075

Provider Enumeration Date	:	06/03/2024
Last Update Date	:	06/03/2024

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