Provider Demographics
NPI:1144806449
Name:ILOVE HOME HEALTH CARE LLC
Entity type:Organization
Organization Name:ILOVE HOME HEALTH CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MR
Authorized Official - First Name:KAFUBA
Authorized Official - Middle Name:
Authorized Official - Last Name:DONZON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:678-860-9669
Mailing Address - Street 1:3706 W FERGUSON RD
Mailing Address - Street 2:
Mailing Address - City:FORT WAYNE
Mailing Address - State:IN
Mailing Address - Zip Code:46809-3157
Mailing Address - Country:US
Mailing Address - Phone:260-446-5797
Mailing Address - Fax:
Practice Address - Street 1:3706 W FERGUSON RD
Practice Address - Street 2:
Practice Address - City:FORT WAYNE
Practice Address - State:IN
Practice Address - Zip Code:46809-3157
Practice Address - Country:US
Practice Address - Phone:260-446-5797
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-03-18
Last Update Date:2021-03-18
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
No374U00000XNursing Service Related ProvidersHome Health AideGroup - Multi-Specialty