Healthcare Provider Details

I. General information

NPI: 1619889300
Provider Name (Legal Business Name): ALL LOVING HOME HEALTH CARE, LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/18/2026
Last Update Date: 09/18/2026
Certification Date: 09/18/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

5986 BALLAST DR
WIMAUMA FL
33598-4443
US

IV. Provider business mailing address

5986 BALLAST DR
WIMAUMA FL
33598-4443
US

V. Phone/Fax

Practice location:
  • Phone: 505-363-5079
  • Fax:
Mailing address:
  • Phone: 505-363-5079
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code376J00000X
TaxonomyHomemaker
License Number
License Number State

VIII. Authorized Official

Name: JORGE A URRUTIA
Title or Position: ADMINISTRATOR
Credential:
Phone: 505-259-2544