Healthcare Provider Details

I. General information

NPI: 1184774721
Provider Name (Legal Business Name): LOVING HEART SERVICES INCORPORATED
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 01/12/2007
Last Update Date: 09/11/2025
Certification Date:
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2901 PALM BAY RD NE SUITE D
PALM BAY FL
32905-3670
US

IV. Provider business mailing address

2901 PALM BAY RD NE SUITE D
PALM BAY FL
32905-3670
US

V. Phone/Fax

Practice location:
  • Phone: 321-674-0386
  • Fax: 321-729-6927
Mailing address:
  • Phone: 321-674-0386
  • Fax: 321-729-6927

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number229375
License Number StateFL
# 2
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number229375
License Number StateFL

VIII. Authorized Official

Name: MS. VICKI LYNNE HUNT
Title or Position: CEO FOUNDER
Credential: LPN
Phone: 321-674-0386