Organization Active NPI

Love Thy Neighbor Home Health Care Inc

  • Home Health Agency
  • Leesburg, FL
National Provider Identifier
1053764316
Registry record updated Apr 29, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Home Health AgencyTaxonomy code 251E00000X
Legal business name
LOVE THY NEIGHBOR HOME HEALTH CARE INC
Practice address
2620 Industrial St
Leesburg, FL 34748-3611
Phone
(352) 787-0499
Fax
(352) 561-2064
NPI assigned
Jul 21, 2016
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 29, 2024

Registry information is reported by the provider to CMS and is not verified. About this source

Authorized official

Name
Wandretta L Dudley
Title
Owner
Phone
(352) 409-0919

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X Primary

Addresses

Primary practice location

2620 Industrial St
Leesburg, FL 34748-3611

Mailing address

2106 Butler St
Leesburg, FL 34748-5502
Phone (352) 409-0919

Other practice location 1

1500 Vine St
Leesburg, FL 34748-5637
Phone (352) 409-0919

Other identifiers 2

IdentifierTypeStateIssuer
121578900MedicaidFL
108379100MedicaidFL

Medicare participation

Medicare enrollment files
Medicare fee-for-service enrollment
Enrolled in FL

Enrollment records 1

Enrollment IDStateProvider typePAC IDDetails
O20250501003038 FL Part A Provider - Home Health Agency 3476965567 Practice locations: Leesburg, FL

Home health agency certification: CCN 687388

Legal name
LOVE THY NEIGHBOR HOME HEALTH CARE INC
Certification status
Active
Provider type (POS)
Home health agency
Participating since
Jul 9, 2025
Last certification
Jun 24, 2025
Organization structure
CorporationProprietary
Enrollment address
2620 Industrial St
Ste 110
Leesburg, FL 34748-3611
HHA Branch

Care Compare: Home health agency

Medicare Care Compare
Listed as
Love Thy Neighbor Home Health Care Inc.CCN 687388 ยท All quality measures
Ownership
-
Certified
Jul 9, 2025
Medicare certification status
ActiveFrom the Provider of Services file

National Provider Directory

National Provider Directory
Tax ID family
Love Thy Neighbor Home Health Care Inc2 organizations share this tax ID, including this one

Other organizations with this tax ID 1

Organizations that report the same tax identification number in the National Provider Directory.

Locations

2620 Industrial St
Leesburg, FL 34748
Phone (352) 787-0499

600 Market St
Ste 111
Leesburg, FL 34748

Ownership & related parties

All disclosed owners & managing parties 2

As disclosed on the Medicare enrollment (CMS All Owners files). Individuals include officers, directors and managing employees, who may not hold ownership.

NameRoleSinceShare
Wandretta L. Dudley Individual 5% Or Greater Direct Ownership Interest Feb 13, 2024 100%
W-2 Managing EmployeeAd; Feb 13, 2024
Janet Raver Individual W-2 Managing EmployeeDirector of Nursing Aug 29, 2025

NPI Registry JSON

The complete NPPES record for this NPI in the NPI Registry API format.

{
    "created_epoch": "1469059200000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1714348800000",
    "number": "1053764316",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "2106 BUTLER ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347485502",
            "telephone_number": "352-409-0919"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2620 INDUSTRIAL ST",
            "city": "LEESBURG",
            "state": "FL",
            "postal_code": "347483611",
            "telephone_number": "352-787-0499",
            "fax_number": "352-561-2064"
        }
    ],
    "practiceLocations": [
        {
            "address_1": "1500 Vine St",
            "address_purpose": "LOCATION",
            "city": "Leesburg",
            "state": "FL",
            "postal_code": "347485637",
            "country_code": "US",
            "telephone_number": "352-409-0919",
            "country_name": "United States",
            "address_type": "DOM"
        }
    ],
    "basic": {
        "organization_name": "LOVE THY NEIGHBOR HOME HEALTH CARE INC",
        "organizational_subpart": "NO",
        "enumeration_date": "2016-07-21",
        "last_updated": "2024-04-29",
        "certification_date": "2024-04-29",
        "status": "A",
        "authorized_official_last_name": "DUDLEY",
        "authorized_official_first_name": "WANDRETTA",
        "authorized_official_middle_name": "L",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "352-409-0919"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "121578900",
            "state": "FL"
        },
        {
            "code": "05",
            "desc": "MEDICAID",
            "issuer": null,
            "identifier": "108379100",
            "state": "FL"
        }
    ],
    "endpoints": [],
    "other_names": []
}

Other providers in Leesburg, FL

Sources for this page

Verify at the official NPI Registry.