Provider Demographics
NPI:1255874491
Name:LOVING CARE & MORE HOME MEDICAL LLC
Entity type:Organization
Organization Name:LOVING CARE & MORE HOME MEDICAL LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CHIEF EXECUTIVE MANAGER
Authorized Official - Prefix:MR
Authorized Official - First Name:MICHAEL
Authorized Official - Middle Name:L
Authorized Official - Last Name:HULL
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:208-556-0101
Mailing Address - Street 1:PO BOX 847
Mailing Address - Street 2:
Mailing Address - City:OSBURN
Mailing Address - State:ID
Mailing Address - Zip Code:83849-0847
Mailing Address - Country:US
Mailing Address - Phone:208-556-0101
Mailing Address - Fax:
Practice Address - Street 1:630 E. MULLAN AVE.
Practice Address - Street 2:SUITE A
Practice Address - City:OSBURN
Practice Address - State:ID
Practice Address - Zip Code:83849
Practice Address - Country:US
Practice Address - Phone:208-556-0101
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-11-21
Last Update Date:2017-05-09
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes332B00000XSuppliersDurable Medical Equipment & Medical Supplies