A Loving Life Care, LLC

Organization Active NPI Home Health Agency · Pembroke Pines, FL

NPI 1629468657 · NPPES record last updated Jan 29, 2015

Key facts

NPI
1629468657
Entity type
Organization (NPI type 2)
Primary specialty
Home Health Agency 251E00000X
License
013703600 (FL)
Legal business name
A LOVING LIFE CARE, LLC
Practice address
1920 NW 111TH Ter
Pembroke Pines, FL 33026-2284
Phone
(954) 900-5971
Fax
(954) 606-0323
NPI assigned
Jan 29, 2015
Organization subpart
No

Authorized official

Name
Mrs. Zulema Miriam Davalos
Title
President
Phone
(954) 900-5971

Corporate family (same tax ID) 1

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

National Provider Directory

Tax ID family
A Loving Life Care LLC (2 organizations share this tax ID)

Locations

3500 N State Road 7
Ste 213
Lauderdale Lakes, FL 33319

Specialties & licenses

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X 013703600 FL Yes
Home Health Agency 251E00000X 013702800 FL

Addresses

Primary practice location

1920 NW 111TH Ter
Pembroke Pines, FL 33026-2284

Mailing address

3500 N State Road 7
Suite# 213
Lauderdale Lakes, FL 33319-5600
Phone (954) 900-5971

Other identifiers

IdentifierTypeStateIssuer
013702800OtherFLDEVELOPMENTAL DISABILITY WAIVER PROGRAM
013703600MedicaidFL

Other providers in Pembroke Pines, FL

All providers in Pembroke Pines, FL · Home Health Agency in Florida

Sources for this page

Verify at the official NPI Registry.