Healthcare Provider Details

I. General information

NPI: 1023987716
Provider Name (Legal Business Name): LOVING CARE SENIOR CENTER LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/01/2025
Last Update Date: 11/01/2025
Certification Date: 11/01/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

6623 FOREST HILL BLVD
GREENACRES FL
33413-3303
US

IV. Provider business mailing address

6623 FOREST HILL BLVD STE 66236625
GREENACRES FL
33413-3303
US

V. Phone/Fax

Practice location:
  • Phone: 561-629-5799
  • Fax: 561-629-5806
Mailing address:
  • Phone: 561-629-5799
  • Fax: 561-629-5806

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: MR. HERIAN MARTINEZ
Title or Position: ADMINISTRATOR
Credential: PTA
Phone: 561-543-0173