Healthcare Provider Details

I. General information

NPI: 1851118087
Provider Name (Legal Business Name): WALK WITH LOVE HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 09/19/2024
Last Update Date: 09/19/2024
Certification Date: 09/19/2024
Deactivation Date:
Reactivation Date:

III. Provider practice location address

231 SPRINGSIDE DR STE 155
FAIRLAWN OH
44333-4502
US

IV. Provider business mailing address

7030 RICHMAN RD
SPENCER OH
44275-9738
US

V. Phone/Fax

Practice location:
  • Phone: 234-266-0446
  • Fax:
Mailing address:
  • Phone: 951-416-9733
  • 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 Code343900000X
TaxonomyNon-emergency Medical Transport (VAN)
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code347C00000X
TaxonomyPrivate Vehicle
License Number
License Number State
# 4
Primary TaxonomyN
Taxonomy Code347E00000X
TaxonomyTransportation Broker
License Number
License Number State
# 5
Primary TaxonomyN
Taxonomy Code385HR2060X
TaxonomyChild Intellectual and/or Developmental Disabilities Respite Care
License Number
License Number State

VIII. Authorized Official

Name: PORTIA LOVE
Title or Position: CEO
Credential:
Phone: 951-416-9733