Organization Active NPI

Love and Light Care Services

  • Personal Care Attendant
  • Tipp City, OH
National Provider Identifier
1124862412
Registry record updated Jun 21, 2024
On this page

Key facts

NPPES NPI Registry
Primary specialty
Personal Care AttendantTaxonomy code 3747P1801X
Legal business name
LOVE AND LIGHT CARE SERVICES
Practice address
140 E Broadway St # 176
Tipp City, OH 45371-1758
Phone
(317) 960-7507
NPI assigned
Jun 21, 2024
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Jun 21, 2024

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

Authorized official

Name
Deriana Wade
Title
Owner
Phone
(317) 960-7507

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
Personal Care AttendantGroup: 193400000X SINGLE SPECIALTY GROUP 3747P1801X Primary

Addresses

Primary practice location

140 E Broadway St # 176
Tipp City, OH 45371-1758

Mailing address

140 E Broadway St # 176
Tipp City, OH 45371-1758
Phone (317) 960-7507

Other names 1

  • Love and Light Care Services Former legal business name

National Provider Directory

National Provider Directory
Tax ID family
Love and Light Care Services2 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.

NPI Registry JSON

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

{
    "created_epoch": "1718928000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1718928000000",
    "number": "1124862412",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "140 E BROADWAY ST # 176",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711758",
            "telephone_number": "317-960-7507"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "140 E BROADWAY ST # 176",
            "city": "TIPP CITY",
            "state": "OH",
            "postal_code": "453711758",
            "telephone_number": "317-960-7507"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE AND LIGHT CARE SERVICES",
        "organizational_subpart": "NO",
        "enumeration_date": "2024-06-21",
        "last_updated": "2024-06-21",
        "certification_date": "2024-06-21",
        "status": "A",
        "authorized_official_last_name": "WADE",
        "authorized_official_first_name": "DERIANA",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "317-960-7507"
    },
    "taxonomies": [
        {
            "code": "3747P1801X",
            "taxonomy_group": "193400000X SINGLE SPECIALTY  GROUP",
            "desc": "Technician, Personal Care Attendant",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": [
        {
            "organization_name": "Love and Light Care Services",
            "code": "4",
            "type": "Former Legal Business Name"
        }
    ]
}

Other providers in Tipp City, OH

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Jun 21, 2024; self-reported and not verified by CMS. Specialty names from the NUCC taxonomy.
  • National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.

Verify at the official NPI Registry.