=====================================================
General NPI Number Information
=====================================================
NPI Number | 1184774721
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | LOVING HEART SERVICES INCORPORATED
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 01/12/2007
-----------------------------------------------------
Last Update Date | 09/11/2025
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 2901 PALM BAY RD NE SUITE D
-----------------------------------------------------
City | PALM BAY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32905-3670
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-674-0386
-----------------------------------------------------
Fax | 321-729-6927
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 2901 PALM BAY RD NE SUITE D
-----------------------------------------------------
City | PALM BAY
-----------------------------------------------------
State | FL
-----------------------------------------------------
Zip | 32905-3670
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 321-674-0386
-----------------------------------------------------
Fax | 321-729-6927
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | CEO FOUNDER
-----------------------------------------------------
Name | MS. VICKI LYNNE HUNT
-----------------------------------------------------
Credential | LPN
-----------------------------------------------------
Telephone | 321-674-0386
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 385HR2060X
-----------------------------------------------------
Taxonomy Name | Child Intellectual and/or Developmental Disabilities Respite Care
-----------------------------------------------------
License Number | 229375
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------
Taxonomy #2
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number | 229375
-----------------------------------------------------
License Number State | FL
-----------------------------------------------------