1386999506 NPI number — LOVE N CARE HEALTHCARE SERVICES

Table of Contents

General

This information contains only most important part of the NPI data, for complete information, including NPI referencing materials please refer to 1386999506 NPI number — LOVE N CARE HEALTHCARE SERVICES

Organization/Personal Information

Employer Identification Number (EIN):
Provider Organization Name:
LOVE N CARE HEALTHCARE SERVICES
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:
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:
1386999506
Entity Type Code:
Organization
Replacement NPI:
Last Update Date:
11/01/2012
NPI Deactivation Reason Code:
NPI Deactivation Date:
NPI Reactivation Date:

Provider's Business Mailing Address

Provider First Line Business Mailing Address:
1 GLENLAKE PKWY NE
Provider Second Line Business Mailing Address:
STE. 700
Provider Business Mailing Address City Name:
SANDY SPRINGS
Provider Business Mailing Address State Name:
GA
Provider Business Mailing Address Postal Code:
30328-3448
Provider Business Mailing Address Country Code:
US
Provider Business Mailing Address Telephone Number:
678-638-6146
Provider Business Mailing Address Fax Number:
770-825-9298

Provider's Practice Location Mailing Address

Provider First Line Business Practice Location Address:
1 GLENLAKE PKWY NE
Provider Second Line Business Practice Location Address:
STE. 700
Provider Business Practice Location Address City Name:
SANDY SPRINGS
Provider Business Practice Location Address State Name:
GA
Provider Business Practice Location Address Postal Code:
30328-3448
Provider Business Practice Location Address Country Code:
US
Provider Business Practice Location Address Telephone Number:
678-638-6146
Provider Business Practice Location Address Fax Number:
770-825-9298
Provider Enumeration Date:
07/14/2012

Additional Information

Authorized Official

Authorized Official Last Name:
KINDLER
Authorized Official First Name:
LAVETTE
Authorized Official Middle Name:
Authorized Official Title or Position:
PRESIDENT
Authorized Official Telephone Number:
770-291-9952

Provider Taxonomy Codes

  • Taxonomy code: 251E00000X , with the licence number:  060-R-1083 , registered in the state of GA ; information, associated with the NPI states the following Primary Taxonomy Switch: "Y" .

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





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