Healthcare Provider Details

I. General information

NPI: 1013893130
Provider Name (Legal Business Name): KINDER LOVING CARE LLC
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 08/13/2025
Last Update Date: 12/08/2025
Certification Date: 12/08/2025
Deactivation Date:
Reactivation Date:

III. Provider practice location address

500 E MAIN ST STE 1600-92
NORFOLK VA
23510-2205
US

IV. Provider business mailing address

500 E MAIN ST STE 1600-92
NORFOLK VA
23510-2205
US

V. Phone/Fax

Practice location:
  • Phone: 757-760-4360
  • Fax:
Mailing address:
  • Phone: 757-760-4360
  • Fax:

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number State
# 2
Primary TaxonomyN
Taxonomy Code3747P1801X
TaxonomyPersonal Care Attendant
License Number
License Number State
# 3
Primary TaxonomyN
Taxonomy Code385H00000X
TaxonomyRespite Care
License Number
License Number State

VIII. Authorized Official

Name: TIERA WILSON
Title or Position: OWNER
Credential:
Phone: 757-769-9486