Provider Demographics
NPI:1316655889
Name:EP LOVING HANDS IN-HOME CARE LLC
Entity type:Organization
Organization Name:EP LOVING HANDS IN-HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/ADMINISTRATION
Authorized Official - Prefix:
Authorized Official - First Name:ENIKOLESI
Authorized Official - Middle Name:
Authorized Official - Last Name:PULOTU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:480-529-6696
Mailing Address - Street 1:22183 N REINBOLD DR
Mailing Address - Street 2:
Mailing Address - City:MARICOPA
Mailing Address - State:AZ
Mailing Address - Zip Code:85138-2282
Mailing Address - Country:US
Mailing Address - Phone:480-529-6696
Mailing Address - Fax:
Practice Address - Street 1:22183 N REINBOLD DR
Practice Address - Street 2:
Practice Address - City:MARICOPA
Practice Address - State:AZ
Practice Address - Zip Code:85138-2282
Practice Address - Country:US
Practice Address - Phone:480-529-6696
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-11-14
Last Update Date:2022-11-14
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care