Healthcare Provider Details

I. General information

NPI: 1124460548
Provider Name (Legal Business Name): LOVABLE FAMILY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/26/2013
Last Update Date: 04/05/2022
Certification Date: 04/05/2022
Deactivation Date:
Reactivation Date:

III. Provider practice location address

9105 TAFT ST
PEMBROKE PINES FL
33024-4652
US

IV. Provider business mailing address

9105 TAFT ST
PEMBROKE PINES FL
33024-4652
US

V. Phone/Fax

Practice location:
  • Phone: 954-251-1951
  • Fax:
Mailing address:
  • Phone: 954-251-1951
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number299994161
License Number StateFL

VIII. Authorized Official

Name: MS. DAYANA SOSA
Title or Position: ADMINISTRATOR/OWNER
Credential:
Phone: 954-251-1951