Provider Demographics
NPI:1053946632
Name:LOVINGCARE NURSING & HOME CARE SERVICES, INC.
Entity type:Organization
Organization Name:LOVINGCARE NURSING & HOME CARE SERVICES, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF FINANCIA OFFICER
Authorized Official - Prefix:MR
Authorized Official - First Name:ADEDAYO
Authorized Official - Middle Name:RUFUS
Authorized Official - Last Name:ADEWOLA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:651-313-6287
Mailing Address - Street 1:1152 ROBERT ST S
Mailing Address - Street 2:
Mailing Address - City:WEST ST PAUL
Mailing Address - State:MN
Mailing Address - Zip Code:55118-2315
Mailing Address - Country:US
Mailing Address - Phone:651-848-0061
Mailing Address - Fax:651-848-0322
Practice Address - Street 1:1152 ROBERT ST S
Practice Address - Street 2:
Practice Address - City:WEST ST PAUL
Practice Address - State:MN
Practice Address - Zip Code:55118-2315
Practice Address - Country:US
Practice Address - Phone:651-848-0061
Practice Address - Fax:651-848-0322
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-03-04
Last Update Date:2020-03-04
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty