MEDICARE: MY LOVE OF CARE HOME HEALTH 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	251E00000X	Home Health Agency
2	163W00000X	Registered Nurse	RN.259715	OH

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1447700091
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	MY LOVE OF CARE HOME HEALTH CARE LLC

Provider Business Mailing Address
First Line	:	11915 STATE ROUTE 235
Second Line	:
City	:	LAKEVIEW
State	:	OH
Zip	:	43331-9383
Country	:	US
Telephone Number	:	937-810-1006
Fax Number	:	937-810-1008

Provider Business Practice Location Address
First Line	:	104 S CARLISLE ST
Second Line	:
City	:	QUINCY
State	:	OH
Zip	:	43343
Country	:	US
Telephone Number	:	937-585-5858
Fax Number	:	937-585-5857

Authorized Official
Title or Position	:	CEO
Name	:	LORENA GAIL DODDS
Credential	:	RN
Telephone Number	:	937-441-0484

Provider Enumeration Date	:	10/06/2016
Last Update Date	:	11/06/2025

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