Provider Demographics
NPI:1437809787
Name:LOVELACE PATIENT CARING LLC
Entity type:Organization
Organization Name:LOVELACE PATIENT CARING LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ALTERNATIVE ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:LINDA
Authorized Official - Middle Name:
Authorized Official - Last Name:BIDOS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:817-881-6413
Mailing Address - Street 1:PO BOX 182911
Mailing Address - Street 2:
Mailing Address - City:ARLINGTON
Mailing Address - State:TX
Mailing Address - Zip Code:76096-2911
Mailing Address - Country:US
Mailing Address - Phone:817-617-2512
Mailing Address - Fax:
Practice Address - Street 1:1703 PEYCO DR N STE C1
Practice Address - Street 2:
Practice Address - City:ARLINGTON
Practice Address - State:TX
Practice Address - Zip Code:76001-6701
Practice Address - Country:US
Practice Address - Phone:817-617-2512
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-03-28
Last Update Date:2022-03-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health