Provider Demographics
NPI:1548851165
Name:LOVING ARMS HOME CARE, LLC
Entity type:Organization
Organization Name:LOVING ARMS HOME CARE, LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/CEO
Authorized Official - Prefix:MRS
Authorized Official - First Name:ANGELLIQUE
Authorized Official - Middle Name:DONSHIKA
Authorized Official - Last Name:PERRY-RUSSELL
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:708-244-1436
Mailing Address - Street 1:6425 JOLIET RD APT 1WF
Mailing Address - Street 2:
Mailing Address - City:LA GRANGE HIGHLANDS
Mailing Address - State:IL
Mailing Address - Zip Code:60525-4293
Mailing Address - Country:US
Mailing Address - Phone:708-244-1436
Mailing Address - Fax:
Practice Address - Street 1:6425 JOLIET RD APT 1WF
Practice Address - Street 2:
Practice Address - City:LA GRANGE HIGHLANDS
Practice Address - State:IL
Practice Address - Zip Code:60525-4293
Practice Address - Country:US
Practice Address - Phone:708-244-1436
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-01-27
Last Update Date:2022-06-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Single Specialty