1891137832 NPI number — LOVE IN ACTION CAREGIVERS INC.

Table of content: GENELYN IMBAT PAZ PA (NPI 1851554562)

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1891137832 NPI number — LOVE IN ACTION CAREGIVERS INC.

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOVE IN ACTION CAREGIVERS INC.
Provider Last Name:
Provider First Name:
Provider Middle Name:
Provider Name Prefix Text:
Provider Name Suffix Text:
Provider Credential Text:
Provider Gender Code:

Provider's Other Name Information

Provider Other Organization Name:
Provider Other Organization Name Type Code:
6
Provider Other Last Name:
Provider Other First Name:
Provider Other Middle Name:
Provider Other Name Prefix Text:
Provider Other Name Suffix Text:
Provider Other Credential Text:
Provider Other Last Name Type Code:

NPI Number Information

NPI Number:
1891137832
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
06/24/2025
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1107 HORNBROOK ST
Provider Second Line Business Mailing Address:
Provider Business Mailing Address City Name:
DYERSBURG
Provider Business Mailing Address State Name:
TN
Provider Business Mailing Address Postal Code:
38024-4425
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
731-334-2116
Provider Business Mailing Address Fax Number:
731-419-4224

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1107 HORNBROOK ST
Provider Second Line Business Practice Location Address:
Provider Business Practice Location Address City Name:
DYERSBURG
Provider Business Practice Location Address State Name:
TN
Provider Business Practice Location Address Postal Code:
38024-4425
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
731-334-2116
Provider Business Practice Location Address Fax Number:
731-419-4224
Provider Enumeration Date:
07/18/2013

Additional Information

Authorized Official

Authorized Official Last Name:
BISHOP
Authorized Official First Name:
MARY
Authorized Official Middle Name:
LOUISE
Authorized Official Title or Position:
OWNER
Authorized Official Telephone Number:
731-334-2116

Provider Taxonomy Codes

  • Taxonomy code: 376K00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "N" .
  • Taxonomy code: 251E00000X ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

Other Provider's Identifiers (legacy, non-NPI)





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