Provider Demographics
NPI:1881024511
Name:LOVING CARE FOSTER HOMES
Entity type:Organization
Organization Name:LOVING CARE FOSTER HOMES
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:JOYCE
Authorized Official - Middle Name:
Authorized Official - Last Name:SIHOTANG
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:269-471-1913
Mailing Address - Street 1:8228 KEPHART LN
Mailing Address - Street 2:
Mailing Address - City:BERRIEN SPRINGS
Mailing Address - State:MI
Mailing Address - Zip Code:49103-9573
Mailing Address - Country:US
Mailing Address - Phone:269-471-2128
Mailing Address - Fax:269-471-1913
Practice Address - Street 1:3611 E. SNOW RD.
Practice Address - Street 2:
Practice Address - City:BERRIEN SPRINGS
Practice Address - State:MI
Practice Address - Zip Code:49103
Practice Address - Country:US
Practice Address - Phone:269-471-2128
Practice Address - Fax:269-471-1913
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2013-11-15
Last Update Date:2013-11-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MIAM 110315886310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility