Healthcare Provider Details

I. General information

NPI: 1184479081
Provider Name (Legal Business Name): LOVE HEALS HOME HEALTH, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 04/23/2024
Last Update Date: 04/23/2024
Certification Date: 04/15/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

2126 TAY WES DRIVE.
SAINT CLOUD FL
34771
US

IV. Provider business mailing address

4058 13TH ST # 1198
SAINT CLOUD FL
34769-6775
US

V. Phone/Fax

Practice location:
  • Phone: 321-352-2445
  • Fax:
Mailing address:
  • Phone:
  • 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: MRS. SONJA MORALES
Title or Position: CFO, DON
Credential: RN
Phone: 321-352-2445