MEDICARE: LOVE AND COMPASSION HOMECARE LLC

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	376J00000X	Homemaker

General Provider Information

NPI Number	:	1871258202
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE AND COMPASSION HOMECARE LLC

Provider Business Mailing Address
First Line	:	2545 PALM DR NE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-1533
Country	:	US
Telephone Number	:	863-589-8789
Fax Number	:

Provider Business Practice Location Address
First Line	:	2545 PALM DR NE
Second Line	:
City	:	WINTER HAVEN
State	:	FL
Zip	:	33881-1533
Country	:	US
Telephone Number	:	863-589-8789
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	MICHELLE HAWKINS
Credential	:
Telephone Number	:	863-589-8789

Provider Enumeration Date	:	11/01/2021
Last Update Date	:	11/01/2021

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