Healthcare Provider Details

I. General information

NPI: 1376473173
Provider Name (Legal Business Name): LOVE IS CARE HOME HEALTHCARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/22/2026
Last Update Date: 05/22/2026
Certification Date: 05/21/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

1404 NW 12TH ST
FORT LAUDERDALE FL
33311-5907
US

IV. Provider business mailing address

1404 NW 12TH ST
FORT LAUDERDALE FL
33311-5907
US

V. Phone/Fax

Practice location:
  • Phone: 754-249-2100
  • Fax:
Mailing address:
  • Phone: 754-249-2100
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State

VIII. Authorized Official

Name: TREVON MCGEE
Title or Position: MANAGER
Credential:
Phone: 754-249-2100