Healthcare Provider Details

I. General information

NPI: 1578280772
Provider Name (Legal Business Name): LAUGH LOVE LIVE HOME CARE
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 10/27/2022
Last Update Date: 09/28/2023
Certification Date: 09/28/2023
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2328 10TH AVE N STE 103
LAKE WORTH FL
33461-6612
US

IV. Provider business mailing address

4357 LAKE LUCERNE CIR
WEST PALM BEACH FL
33409-7883
US

V. Phone/Fax

Practice location:
  • Phone: 561-951-5494
  • Fax: 561-710-7676
Mailing address:
  • Phone: 561-951-5494
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State

VIII. Authorized Official

Name: FREDERICKA MCGIRT
Title or Position: CEO
Credential:
Phone: 561-228-9355