=====================================================
General NPI Number Information
=====================================================
NPI Number | 1710835186
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | VIRTUOUS LOVING ARMS HOME LLC
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 03/20/2026
-----------------------------------------------------
Last Update Date | 03/20/2026
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 821 PRINCETON RD
-----------------------------------------------------
City | PRINCETON
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71067-8320
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-615-4057
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 821 PRINCETON RD
-----------------------------------------------------
City | PRINCETON
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71067-8320
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-615-4057
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER/ ADMINSTRATOR
-----------------------------------------------------
Name | SHARNIKNCA N BROWN
-----------------------------------------------------
Credential |
-----------------------------------------------------
Telephone | 318-268-5244
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 3747P1801X
-----------------------------------------------------
Taxonomy Name | Personal Care Attendant
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------