Provider Demographics
NPI:1871169037
Name:68 LOVING HEARTS HOME HEALTH CARE COMPANY
Entity type:Organization
Organization Name:68 LOVING HEARTS HOME HEALTH CARE COMPANY
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:DIRECTOR OF NURSING/ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:MARCIA
Authorized Official - Middle Name:
Authorized Official - Last Name:MURPHY
Authorized Official - Suffix:
Authorized Official - Credentials:RN
Authorized Official - Phone:313-768-4414
Mailing Address - Street 1:18424 KLINGER ST
Mailing Address - Street 2:
Mailing Address - City:DETROIT
Mailing Address - State:MI
Mailing Address - Zip Code:48234-1718
Mailing Address - Country:US
Mailing Address - Phone:313-768-4414
Mailing Address - Fax:
Practice Address - Street 1:18424 KLINGER ST
Practice Address - Street 2:
Practice Address - City:DETROIT
Practice Address - State:MI
Practice Address - Zip Code:48234-1718
Practice Address - Country:US
Practice Address - Phone:313-768-4414
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-05-28
Last Update Date:2021-05-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
MI802641026Medicaid