Organization
DISTANT LOVE
Active
Parent organization
DISTANT LOVE
Other names
Distant Love Home Services, Distant Love Home Care
Organization subpart
Yes
Provider details
NPI number
Legal business name
DISTANT LOVE
Authorized official
MS. CASSANDRA LARAY BROWN (FOUNDER/ CEO)
(206) 399-7012
Entity
Organization
Contact information
Practice address
6503 HAMILTON ST, OMAHA, NE 68132-1252
(206) 399-7012
Mailing address
6503 HAMILTON ST, OMAHA, NE 68132-1252
Taxonomy
Speciality
Code
Description
License number
State
101Y00000X
Counselor
—
—
163WH0200X
Home Health Registered Nurse
—
—
171M00000X
Case Manager/Care Coordinator
—
—
251E00000X
Home Health Agency
Primary
—
—
343800000X
Secured Medical Transport (VAN)
—
—
376G00000X
Nursing Home Administrator
—
—
Other
Enumeration date
04/02/2025
Last updated
04/02/2025
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