Provider Demographics
NPI:1831766575
Name:LOVELY CARE INC
Entity type:Organization
Organization Name:LOVELY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:FOUNDER
Authorized Official - Prefix:MRS
Authorized Official - First Name:DONISE
Authorized Official - Middle Name:
Authorized Official - Last Name:BIASSOUS
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:267-407-6521
Mailing Address - Street 1:931 ROCK QUARRY RD
Mailing Address - Street 2:
Mailing Address - City:STOCKBRIDGE
Mailing Address - State:GA
Mailing Address - Zip Code:30281-4352
Mailing Address - Country:US
Mailing Address - Phone:267-407-6521
Mailing Address - Fax:
Practice Address - Street 1:931 ROCK QUARRY RD
Practice Address - Street 2:
Practice Address - City:STOCKBRIDGE
Practice Address - State:GA
Practice Address - Zip Code:30281-4352
Practice Address - Country:US
Practice Address - Phone:267-407-6521
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-06-10
Last Update Date:2021-06-10
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility
No251B00000XAgenciesCase Management
No311500000XNursing & Custodial Care FacilitiesAlzheimer Center (Dementia Center)
No313M00000XNursing & Custodial Care FacilitiesNursing Facility/Intermediate Care Facility
No314000000XNursing & Custodial Care FacilitiesSkilled Nursing Facility
No343900000XTransportation ServicesNon-emergency Medical Transport (VAN)
Provider Identifiers
StateIdentifier IDID TypeIssuer
GAPCH010075OtherPERSONAL CARE HOME PERMIT