Organization Active NPI

Love and Faith Senior Home Care

  • In Home Supportive Care Agency
  • Melbourne, FL
National Provider Identifier
1649879073
Registry record updated Apr 4, 2023
On this page

Key facts

NPPES NPI Registry
Primary specialty
In Home Supportive Care AgencyTaxonomy code 253Z00000X
Legal business name
LOVE AND FAITH SENIOR HOME CARE
Practice address
2412 Irwin St
Melbourne, FL 32901-7316
Phone
(321) 379-5131
NPI assigned
Oct 16, 2020
Last updated
Apr 4, 2023By the provider in NPPES
Organization subpart
No

NPPES NPI Registry

Updated by the provider on Apr 4, 2023

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

Authorized official

Name
Aqeyla Tinsley
Title
Ceo/Director
Phone
(850) 447-0876

Specialties & licenses 4

Specialty (taxonomy)CodeLicenseStatePrimary
Home Health Agency 251E00000X
In Home Supportive Care Agency 253Z00000X Primary
Private Vehicle 347C00000X
Respite Care 385H00000X

Addresses

Primary practice location

2412 Irwin St
Melbourne, FL 32901-7316

Mailing address

PO Box 702189
Saint Cloud, FL 34770-2189

National Provider Directory

National Provider Directory

NPI Registry JSON

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

{
    "created_epoch": "1602806400000",
    "enumeration_type": "NPI-2",
    "last_updated_epoch": "1680566400000",
    "number": "1649879073",
    "addresses": [
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "MAILING",
            "address_type": "DOM",
            "address_1": "PO BOX 702189",
            "city": "SAINT CLOUD",
            "state": "FL",
            "postal_code": "347702189"
        },
        {
            "country_code": "US",
            "country_name": "United States",
            "address_purpose": "LOCATION",
            "address_type": "DOM",
            "address_1": "2412 IRWIN ST",
            "city": "MELBOURNE",
            "state": "FL",
            "postal_code": "329017316",
            "telephone_number": "321-379-5131"
        }
    ],
    "practiceLocations": [],
    "basic": {
        "organization_name": "LOVE AND FAITH SENIOR HOME CARE",
        "organizational_subpart": "NO",
        "enumeration_date": "2020-10-16",
        "last_updated": "2023-04-04",
        "certification_date": "2023-04-04",
        "status": "A",
        "authorized_official_last_name": "TINSLEY",
        "authorized_official_first_name": "AQEYLA",
        "authorized_official_title_or_position": "CEO/DIRECTOR",
        "authorized_official_telephone_number": "850-447-0876"
    },
    "taxonomies": [
        {
            "code": "251E00000X",
            "taxonomy_group": "",
            "desc": "Home Health",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "253Z00000X",
            "taxonomy_group": "",
            "desc": "In Home Supportive Care",
            "state": null,
            "license": null,
            "primary": true
        },
        {
            "code": "347C00000X",
            "taxonomy_group": "",
            "desc": "Private Vehicle",
            "state": null,
            "license": null,
            "primary": false
        },
        {
            "code": "385H00000X",
            "taxonomy_group": "",
            "desc": "Respite Care",
            "state": null,
            "license": null,
            "primary": false
        }
    ],
    "identifiers": [],
    "endpoints": [],
    "other_names": []
}

Other providers in Melbourne, FL

Sources for this page

  • NPPES NPI Registry (CMS): identity, addresses, specialties, licenses, identifiers and endpoints. Last updated by the provider on Apr 4, 2023; 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.