Provider Demographics
NPI:1861696007
Name:WITH LOVE HOMECARE, INC.
Entity type:Organization
Organization Name:WITH LOVE HOMECARE, INC.
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO OWNER
Authorized Official - Prefix:
Authorized Official - First Name:PIA
Authorized Official - Middle Name:
Authorized Official - Last Name:LOVE-BUNDRENT
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:586-578-1158
Mailing Address - Street 1:11885 E 12 MILE RD
Mailing Address - Street 2:SUITE 204B
Mailing Address - City:WARREN
Mailing Address - State:MI
Mailing Address - Zip Code:48093-3474
Mailing Address - Country:US
Mailing Address - Phone:586-578-1158
Mailing Address - Fax:586-578-1193
Practice Address - Street 1:11885 E 12 MILE RD
Practice Address - Street 2:SUITE 204B
Practice Address - City:WARREN
Practice Address - State:MI
Practice Address - Zip Code:48093-3474
Practice Address - Country:US
Practice Address - Phone:586-578-1158
Practice Address - Fax:586-578-1193
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-06-12
Last Update Date:2013-02-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
MI251E00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health