Healthcare Provider Details

I. General information

NPI: 1447554811
Provider Name (Legal Business Name): ALLEAN'S LOVING CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/28/2010
Last Update Date: 10/26/2016
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

616 10TH STREET EAST
BRADENTON FL
34208-7710
US

IV. Provider business mailing address

616 10TH ST E
BRADENTON FL
34208-2110
US

V. Phone/Fax

Practice location:
  • Phone: 941-747-6505
  • Fax: 941-747-6505
Mailing address:
  • Phone: 941-747-6505
  • Fax: 941-747-6505

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number227607
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number227607
License Number StateFL
# 3
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number227607
License Number StateFL

VIII. Authorized Official

Name: MRS. ALBERTA MCINTOSH
Title or Position: PRESIDENT
Credential:
Phone: 941-747-6505