Provider Demographics
NPI:1609497536
Name:LOVING CARE HOME CARE OF CANTON LLC
Entity type:Organization
Organization Name:LOVING CARE HOME CARE OF CANTON LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:DR
Authorized Official - First Name:SARDAR
Authorized Official - Middle Name:
Authorized Official - Last Name:ZAMAN
Authorized Official - Suffix:
Authorized Official - Credentials:MD
Authorized Official - Phone:734-756-3979
Mailing Address - Street 1:5860 N CANTON CENTER RD STE 306
Mailing Address - Street 2:
Mailing Address - City:CANTON
Mailing Address - State:MI
Mailing Address - Zip Code:48187-2687
Mailing Address - Country:US
Mailing Address - Phone:734-756-3979
Mailing Address - Fax:734-335-7184
Practice Address - Street 1:5860 N CANTON CENTER RD STE 306
Practice Address - Street 2:
Practice Address - City:CANTON
Practice Address - State:MI
Practice Address - Zip Code:48187-2687
Practice Address - Country:US
Practice Address - Phone:734-756-3979
Practice Address - Fax:734-335-7184
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2020-05-01
Last Update Date:2020-05-01
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes3747P1801XNursing Service Related ProvidersTechnicianPersonal Care AttendantGroup - Single Specialty