MEDICARE: IN LOVING CARE, 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	:	1982550984
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	IN LOVING CARE, LLC

Provider Business Mailing Address
First Line	:	6813 BIDDY LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-4975
Country	:	US
Telephone Number	:	904-882-0549
Fax Number	:

Provider Business Practice Location Address
First Line	:	6813 BIDDY LN
Second Line	:
City	:	JACKSONVILLE
State	:	FL
Zip	:	32210-4975
Country	:	US
Telephone Number	:	904-882-0549
Fax Number	:

Authorized Official
Title or Position	:	MGR
Name	:	MARY LOUISE HANDY-PETERSON
Credential	:
Telephone Number	:	904-882-0549

Provider Enumeration Date	:	03/10/2026
Last Update Date	:	03/10/2026

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Directions to “IN LOVING CARE, LLC ” Practice Location

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