Provider Demographics
NPI:1174371488
Name:LOVING HANDS HEALTH CARE SERVICE
Entity type:Organization
Organization Name:LOVING HANDS HEALTH CARE SERVICE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CO-CEO
Authorized Official - Prefix:MS
Authorized Official - First Name:LASHANNA
Authorized Official - Middle Name:R
Authorized Official - Last Name:WOODS
Authorized Official - Suffix:
Authorized Official - Credentials:CNA
Authorized Official - Phone:216-240-2995
Mailing Address - Street 1:1038 E 167TH ST
Mailing Address - Street 2:
Mailing Address - City:CLEVELAND
Mailing Address - State:OH
Mailing Address - Zip Code:44110-1523
Mailing Address - Country:US
Mailing Address - Phone:216-240-2995
Mailing Address - Fax:
Practice Address - Street 1:1038 E 167TH ST
Practice Address - Street 2:
Practice Address - City:CLEVELAND
Practice Address - State:OH
Practice Address - Zip Code:44110-1523
Practice Address - Country:US
Practice Address - Phone:216-240-2995
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-05-10
Last Update Date:2024-05-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes374U00000XNursing Service Related ProvidersHome Health AideGroup - Single Specialty