Provider Demographics
NPI:1023866043
Name:ALL LOVE HOMECARE SERVICES
Entity type:Organization
Organization Name:ALL LOVE HOMECARE SERVICES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:
Authorized Official - First Name:CHANCELOR
Authorized Official - Middle Name:J
Authorized Official - Last Name:BUSH
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:234-207-3643
Mailing Address - Street 1:1720 FREDERICK AVE SW
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:OH
Mailing Address - Zip Code:44706-5314
Mailing Address - Country:US
Mailing Address - Phone:330-224-4823
Mailing Address - Fax:614-468-1246
Practice Address - Street 1:1720 FREDERICK AVE SW
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:OH
Practice Address - Zip Code:44706-5314
Practice Address - Country:US
Practice Address - Phone:330-224-4823
Practice Address - Fax:614-468-1246
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-07
Last Update Date:2024-05-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
OH7611206Medicaid