Healthcare Provider Details

I. General information

NPI: 1881401453
Provider Name (Legal Business Name): LOVE, RECOVERY, AND CONNECTIONS INC.
Entity Type: Organization
Gender:
Sole Proprietor:

II. Dates (important events)

Enumeration Date: 12/16/2024
Last Update Date: 02/16/2026
Certification Date: 02/16/2026
Deactivation Date:
Reactivation Date:

III. Provider practice location address

7876 WOOD REED DR
MADISON WI
53719-4422
US

IV. Provider business mailing address

7876 WOOD REED DR
MADISON WI
53719-4422
US

V. Phone/Fax

Practice location:
  • Phone: 608-284-1492
  • Fax: 608-305-8981
Mailing address:
  • Phone: 608-284-1492
  • Fax: 608-305-8981

VI. Provider taxonomy

Scope of Practice (Provider specialty)

# 1
Primary TaxonomyY
Taxonomy Code310400000X
TaxonomyAssisted Living Facility
License Number
License Number StateNULL
# 2
Primary TaxonomyN
Taxonomy Code253Z00000X
TaxonomyIn Home Supportive Care Agency
License Number
License Number StateNULL

VIII. Authorized Official

Name: VILITHA DELORES CLAY
Title or Position: ADMINISTRATOR
Credential: LCSW
Phone: 608-284-1492