A Loving Life Care, LLC
Organization Active NPI In Home Supportive Care Agency · Lauderdale Lakes, FL
NPI 1639549348 · NPPES record last updated Oct 7, 2015
Key facts
- NPI
- 1639549348
- Entity type
- Organization (NPI type 2)
- Primary specialty
- In Home Supportive Care Agency 253Z00000X
- Legal business name
- A LOVING LIFE CARE, LLC
- Practice address
- 3500 N State Road 7
Suite 302
Lauderdale Lakes, FL 33319-5600 - Phone
- (954) 900-5971
- Fax
- (954) 606-0323
- NPI assigned
- Oct 7, 2015
- Organization subpart
- No
Authorized official
- Name
- Zulema Davalos
- Title
- President
- Phone
- (954) 900-5971
Corporate family (same tax ID) 1
National Provider Directory
- Tax ID family
- A Loving Life Care LLC
Specialties & licenses
| Specialty (taxonomy) | Code | License | State | Primary |
|---|---|---|---|---|
| In Home Supportive Care Agency | 253Z00000X | Yes |
Addresses
Primary practice location
3500 N State Road 7
Suite 302
Lauderdale Lakes, FL 33319-5600
Mailing address
3500 N State Road 7
Suite 302
Lauderdale Lakes, FL 33319-5600
Phone (954) 900-5971
Other identifiers
| Identifier | Type | State | Issuer |
|---|---|---|---|
| 013703600 | Medicaid | FL |
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All providers in Lauderdale Lakes, FL · In Home Supportive Care Agency in Florida
Sources for this page
- NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Record last updated by the provider on Oct 7, 2015. Information in NPPES is self-reported and not verified by CMS.
- NUCC Health Care Provider Taxonomy: specialty names.
- National Provider Directory (CMS): practice roles, locations, licenses, networks and endpoints.