Healthcare Provider Details

I. General information

NPI: 1619884863
Provider Name (Legal Business Name): LOVE AND CARE RESIDENCE CORP
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/25/2026
Last Update Date: 08/25/2026
Certification Date: 08/25/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7806 N ALBANY AVE
TAMPA FL
33604-3825
US

IV. Provider business mailing address

7806 N ALBANY AVE
TAMPA FL
33604-3825
US

V. Phone/Fax

Practice location:
  • Phone: 239-628-2630
  • Fax: 813-902-7425
Mailing address:
  • Phone: 239-628-2630
  • Fax: 813-902-7425

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number State

VIII. Authorized Official

Name: LAZARO DURAN REYES
Title or Position: OWNER
Credential:
Phone: 239-628-2630