MEDICARE: L & L LOVING HOME CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	310400000X	Assisted Living Facility	AL11472	FL

General Provider Information

NPI Number	:	1376835678
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	L & L LOVING HOME CARE INC

Provider Business Mailing Address
First Line	:	4422 NW 23RD AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-4606
Country	:	US
Telephone Number	:	305-225-7119
Fax Number	:	305-225-1289

Provider Business Practice Location Address
First Line	:	4422 NW 23RD AVE
Second Line	:
City	:	MIAMI
State	:	FL
Zip	:	33142-4606
Country	:	US
Telephone Number	:	305-225-7119
Fax Number	:	305-225-1289

Authorized Official
Title or Position	:	ADMINISTRATION
Name	:	LUISA DIEGUEZ
Credential	:
Telephone Number	:	305-225-7119

Provider Enumeration Date	:	05/05/2011
Last Update Date	:	05/05/2011

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