Healthcare Provider Details

I. General information

NPI: 1629938360
Provider Name (Legal Business Name): CARING FOR LOVE1
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 11/14/2025
Last Update Date: 11/14/2025
Certification Date: 11/14/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

826 TYSON AVE
DAYTON OH
45417-9146
US

IV. Provider business mailing address

826 TYSON AVE
DAYTON OH
45417-9146
US

V. Phone/Fax

Practice location:
  • Phone: 937-315-1812
  • Fax:
Mailing address:
  • Phone: 937-315-1812
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251B00000X
TaxonomyCase Management Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code251K00000X
TaxonomyPublic Health or Welfare Agency
License Number
License Number State
# 3
Primary TaxonomyY
Taxonomy Code251S00000X
TaxonomyCommunity/Behavioral Health Agency
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code261QC1500X
TaxonomyCommunity Health Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: RYAN HARRIS
Title or Position: FOUNDER/EXECUTIVE DIRECTOR
Credential:
Phone: 937-315-1812