Healthcare Provider Details

I. General information

NPI: 1497446710
Provider Name (Legal Business Name): OURLOVE SENIOR CARE INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 05/17/2023
Last Update Date: 09/24/2025
Certification Date: 09/24/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

16910 S US HIGHWAY 441 STE 205
SUMMERFIELD FL
34491-8664
US

IV. Provider business mailing address

16910 S US HIGHWAY 441 STE 205
SUMMERFIELD FL
34491-8664
US

V. Phone/Fax

Practice location:
  • Phone: 352-502-4923
  • Fax: 350-504-0241
Mailing address:
  • Phone: 352-502-4923
  • Fax: 350-504-0241

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code282E00000X
TaxonomyLong Term Care Hospital
License Number
License Number State

VIII. Authorized Official

Name: ANDELL Y PHILLIP
Title or Position: PRESIDENT
Credential:
Phone: 352-502-4923