MEDICARE: LOVING ARMS 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	HC-8035	OK

General Provider Information

NPI Number	:	1790181329
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVING ARMS HOME HEALTH CARE,LLC

Provider Business Mailing Address
First Line	:	121 N GREENWOOD AVE
Second Line	:	SUITE B
City	:	TULSA
State	:	OK
Zip	:	74120-1444
Country	:	US
Telephone Number	:	918-425-0221
Fax Number	:	918-425-0226

Provider Business Practice Location Address
First Line	:	121 N GREENWOOD AVE
Second Line	:	SUITE B
City	:	TULSA
State	:	OK
Zip	:	74120-1444
Country	:	US
Telephone Number	:	918-425-0221
Fax Number	:	918-425-0226

Authorized Official
Title or Position	:	CEO
Name	:	ANTHONY EARL JOHNSON
Credential	:
Telephone Number	:	918-425-0221

Provider Enumeration Date	:	11/10/2014
Last Update Date	:	11/10/2014

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