Healthcare Provider Details

I. General information

NPI: 1720606866
Provider Name (Legal Business Name): LOVE AND LOYALTY HOME CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 07/06/2020
Last Update Date: 08/05/2026
Certification Date: 08/05/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

53 W CHURCH ST
KILMARNOCK VA
22482
US

IV. Provider business mailing address

PO BOX 203
MERRY POINT VA
22513-0203
US

V. Phone/Fax

Practice location:
  • Phone: 804-896-6177
  • Fax: 804-451-4739
Mailing address:
  • Phone: 804-896-6177
  • Fax: 804-451-4739

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyN
Taxonomy Code251C00000X
TaxonomyDevelopmentally Disabled Services Day Training Agency
License Number
License Number State
# 2
Primary TaxonomyY
Taxonomy Code251E00000X
TaxonomyHome Health Agency
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code261QA0600X
TaxonomyAdult Day Care Clinic/Center
License Number
License Number State

VIII. Authorized Official

Name: LAKIA GAINES
Title or Position: ADMINISTRATOR
Credential:
Phone: 804-896-6177