Provider Demographics
NPI:1720870306
Name:GRACE & LOVING HEARTS CARE SERVICES LLC
Entity type:Organization
Organization Name:GRACE & LOVING HEARTS CARE SERVICES LLC
Other - Org Name:<UNAVAIL>
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:TARA
Authorized Official - Middle Name:
Authorized Official - Last Name:CROSBY
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:312-402-6747
Mailing Address - Street 1:4230 BEAVER CREEK DR
Mailing Address - Street 2:
Mailing Address - City:MASON
Mailing Address - State:TN
Mailing Address - Zip Code:38049-6806
Mailing Address - Country:US
Mailing Address - Phone:312-402-6747
Mailing Address - Fax:
Practice Address - Street 1:4230 BEAVER CREEK DR
Practice Address - Street 2:
Practice Address - City:MASON
Practice Address - State:TN
Practice Address - Zip Code:38049-6806
Practice Address - Country:US
Practice Address - Phone:312-402-6747
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2025-05-20
Last Update Date:2025-05-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes311ZA0620XNursing & Custodial Care FacilitiesCustodial Care FacilityAdult Care Home
No310400000XNursing & Custodial Care FacilitiesAssisted Living Facility