Healthcare Provider Details

I. General information

NPI: 1356271977
Provider Name (Legal Business Name): HEART LOVING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/23/2026
Last Update Date: 05/23/2026
Certification Date: 05/23/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

187 SABAL PALM DR
LONGWOOD FL
32779-2595
US

IV. Provider business mailing address

187 SABAL PALM DR
LONGWOOD FL
32779-2595
US

V. Phone/Fax

Practice location:
  • Phone: 407-353-1336
  • Fax: 407-353-1336
Mailing address:
  • Phone: 407-353-1336
  • Fax: 407-353-1336

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code320700000X
TaxonomyPhysical Disabilities Residential Treatment Facility
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code320600000X
TaxonomyIntellectual and/or Developmental Disabilities Residential Treatment Facility
License Number
License Number State

VIII. Authorized Official

Name: CAMEKA CAMPBELL
Title or Position: MANAGER
Credential:
Phone: 407-353-1336