Provider Demographics
NPI:1730967761
Name:LOVE WINS HOME CARE LLC
Entity type:Organization
Organization Name:LOVE WINS HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR
Authorized Official - Prefix:
Authorized Official - First Name:SAMSON
Authorized Official - Middle Name:
Authorized Official - Last Name:KANGAU
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:317-945-0172
Mailing Address - Street 1:7527 SANTA MONICA DR APT B
Mailing Address - Street 2:
Mailing Address - City:INDIANAPOLIS
Mailing Address - State:IN
Mailing Address - Zip Code:46268-1689
Mailing Address - Country:US
Mailing Address - Phone:317-945-0172
Mailing Address - Fax:
Practice Address - Street 1:7527 SANTA MONICA DR APT B
Practice Address - Street 2:
Practice Address - City:INDIANAPOLIS
Practice Address - State:IN
Practice Address - Zip Code:46268-1689
Practice Address - Country:US
Practice Address - Phone:317-945-0172
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-09-20
Last Update Date:2023-09-20
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care