Provider Demographics
NPI:1578287561
Name:ALLIANCE LOVING CARE LLC
Entity type:Organization
Organization Name:ALLIANCE LOVING CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF OPERATIONS
Authorized Official - Prefix:MR
Authorized Official - First Name:STEVEN
Authorized Official - Middle Name:
Authorized Official - Last Name:RUKUNDO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:937-499-3862
Mailing Address - Street 1:5063 SABRA AVE
Mailing Address - Street 2:
Mailing Address - City:HUBER HEIGHTS
Mailing Address - State:OH
Mailing Address - Zip Code:45424-5346
Mailing Address - Country:US
Mailing Address - Phone:937-499-3862
Mailing Address - Fax:937-522-0976
Practice Address - Street 1:5063 SABRA AVE
Practice Address - Street 2:
Practice Address - City:HUBER HEIGHTS
Practice Address - State:OH
Practice Address - Zip Code:45424-5346
Practice Address - Country:US
Practice Address - Phone:937-499-3862
Practice Address - Fax:937-522-0976
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2022-10-03
Last Update Date:2024-11-27
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes315P00000XNursing & Custodial Care FacilitiesIntermediate Care Facility, Intellectual Disabilities