Love & Light Home Care LLC

Primary specialty

Intellectual and/or Developmental Disabilities Residential Treatment FacilityTaxonomy code 320600000X

Legal business name

LOVE & LIGHT HOME CARE LLC

Practice address

4401 Widgeon CT
North Dinwiddie, VA 23803-6883

Phone

(804) 504-5483

Fax

(804) 203-4916

NPI assigned

Sep 10, 2021

Organization subpart

No

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

Authorized official

Name

Mr. De'Bryant Mabry Sr.

Title

Owner

Phone

(804) 892-2134

Specialties & licenses 1

Addresses

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

{
    "created_epoch": "1631232000000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1635811200000",
    "number": "1508535725",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "4401 WIDGEON CT",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238036883",
            "telephone_number": "804-504-5483",
            "fax_number": "804-203-4916"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "4401 WIDGEON CT",
            "city": "NORTH DINWIDDIE",
            "state": "VA",
            "postal_code": "238036883",
            "telephone_number": "804-504-5483",
            "fax_number": "804-203-4916"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE & LIGHT HOME CARE LLC",
        "organizational_subpart": "NO",
        "enumeration_date": "2021-09-10",
        "last_updated": "2021-11-02",
        "certification_date": "2021-11-02",
        "status": "A",
        "authorized_official_last_name": "MABRY",
        "authorized_official_first_name": "DE'BRYANT",
        "authorized_official_title_or_position": "OWNER",
        "authorized_official_telephone_number": "804-892-2134",
        "authorized_official_name_prefix": "Mr.",
        "authorized_official_name_suffix": "Sr."
    },
    "taxonomies": [
        {
            "code": "320600000X",
            "taxonomy_group": "",
            "desc": "Residential Treatment Facility, Intellectual and/or Developmental Disabilities",
            "state": null,
            "license": null,
            "primary": true
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

• Alwajudat Lawal, OTR
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• Michelle Lewis
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• Kathryn Brooke Martin, CCC-SLP
• Medical Xpress Non Emergency Transportation LLC
• Shannon Nakeayva Mines, LPC
• Chanel D Morgan, LPC

• Intellectual and/or Developmental Disabilities Residential Treatment Facility in North Dinwiddie, VA
• Providers in North Dinwiddie, VA by specialty
• Intellectual and/or Developmental Disabilities Residential Treatment Facility in Virginia

• NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Nov 2, 2021; 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.