Provider Demographics
NPI:1437838570
Name:BROOKE'S GIFT OF LOVE HOMECARE LLC
Entity type:Organization
Organization Name:BROOKE'S GIFT OF LOVE HOMECARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:ERICA
Authorized Official - Middle Name:
Authorized Official - Last Name:HARRIS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-580-9158
Mailing Address - Street 1:1700 NEEDMORE RD STE 201
Mailing Address - Street 2:
Mailing Address - City:DAYTON
Mailing Address - State:OH
Mailing Address - Zip Code:45414-3804
Mailing Address - Country:US
Mailing Address - Phone:937-694-0088
Mailing Address - Fax:937-796-3647
Practice Address - Street 1:1700 NEEDMORE RD STE 201
Practice Address - Street 2:
Practice Address - City:DAYTON
Practice Address - State:OH
Practice Address - Zip Code:45414-3804
Practice Address - Country:US
Practice Address - Phone:937-694-0088
Practice Address - Fax:937-796-3647
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:BROOKE'S GIFT OF LOVE HOMECARE LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2023-07-17
Last Update Date:2024-10-07
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health