NPIMap

Organization Active NPI

Lovely Traveling Nurse Care LLC

  • In Home Supportive Care Agency
  • Madison, AL
National Provider Identifier
1134628779
Registry record updated Feb 9, 2018
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LOVELY TRAVELING NURSE CARE LLC
Practice address
100 Haven Ridge Rd
Madison, AL 35758-9205
Phone
(540) 630-1298
NPI assigned
Feb 9, 2018
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Feb 9, 2018

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

Authorized official

Name
Elpidio Ilaban
Title
Owner/President
Phone
(540) 630-1298

Specialties & licenses 1

Specialty (taxonomy)CodeLicenseStatePrimary
In Home Supportive Care Agency 253Z00000X Primary

Addresses

Primary practice location

100 Haven Ridge Rd
Madison, AL 35758-9205

Mailing address

100 Haven Ridge Rd
Madison, AL 35758-9205
Phone (540) 630-1298

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1518134400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1518134400000",
    "number": "1134628779",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "100 HAVEN RIDGE RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589205",
            "telephone_number": "540-630-1298"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "100 HAVEN RIDGE RD",
            "city": "MADISON",
            "state": "AL",
            "postal_code": "357589205",
            "telephone_number": "540-630-1298"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVELY TRAVELING NURSE CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2018-02-09",
        "last_updated": "2018-02-09",
        "status": "A",
        "authorized_official_last_name": "ILABAN",
        "authorized_official_first_name": "ELPIDIO",
        "authorized_official_title_or_position": "OWNER/PRESIDENT",
        "authorized_official_telephone_number": "540-630-1298"
    },
    "taxonomies": [
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Madison, AL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Feb 9, 2018; 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.