- Enrollment id
- O20140805001885
- Enrollment state
- KS
- Provider type code
- 00-06
- Provider type text
- PART A PROVIDER - HOME HEALTH AGENCY
- Npi
- 1336560176
- Multiple npi flag
- N
- Ccn
- 178104
- Associate id
- 1759508351
- Organization name
- LOVE MY NURSE LLC
- Doing business as name
- LOVE MY NURSE HOME HEALTH
- Incorporation date
- 2013-10-29
- Incorporation state
- KS
- Organization type structure
- LLC
- Proprietary nonprofit
- P
- Address line 1
- 1634 E CENTRAL AVE
- City
- WICHITA
- State
- KS
- Zip code
- 672144165