Provider Demographics
NPI:1578459798
Name:LOVING, PRINCESS ROSEMARY
Entity type:Individual
Prefix:
First Name:PRINCESS
Middle Name:ROSEMARY
Last Name:LOVING
Suffix:
Gender:F
Credentials:
Other - Prefix:
Other - First Name:
Other - Middle Name:
Other - Last Name:
Other - Suffix:
Other - Last Name Type:
Other - Credentials:
Mailing Address - Street 1:6025 HARTMAN AVE APT S309
Mailing Address - Street 2:
Mailing Address - City:OMAHA
Mailing Address - State:NE
Mailing Address - Zip Code:68104-1188
Mailing Address - Country:US
Mailing Address - Phone:402-813-0721
Mailing Address - Fax:
Practice Address - Street 1:2602 PINKNEY ST
Practice Address - Street 2:
Practice Address - City:OMAHA
Practice Address - State:NE
Practice Address - Zip Code:68111-3241
Practice Address - Country:US
Practice Address - Phone:402-216-8294
Practice Address - Fax:
Is Sole Proprietor?:Yes
Enumeration Date:2025-06-16
Last Update Date:2025-06-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes374U00000XNursing Service Related ProvidersHome Health Aide