=====================================================
General NPI Number Information
=====================================================
NPI Number | 1730361072
-----------------------------------------------------
Entity Type | Organization
-----------------------------------------------------
Legal Business Name | HOLY LOVE CAREGIVERS
-----------------------------------------------------
=====================================================
Dates
=====================================================
Enumeration Date | 11/28/2007
-----------------------------------------------------
Last Update Date | 11/28/2007
-----------------------------------------------------
=====================================================
Provider Practice Location Address
=====================================================
Address Line | 1414 HIGHWAY 1 1302
-----------------------------------------------------
City | NATCHITOCHES
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71457-7664
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-352-5578
-----------------------------------------------------
Fax | 318-352-5579
-----------------------------------------------------
=====================================================
Provider Business Mailing Address
=====================================================
Address Line | 1414 HIGHWAY 1 1302
-----------------------------------------------------
City | NATCHITOCHES
-----------------------------------------------------
State | LA
-----------------------------------------------------
Zip | 71457-7664
-----------------------------------------------------
Country | US
-----------------------------------------------------
Telephone | 318-352-5578
-----------------------------------------------------
Fax |
-----------------------------------------------------
=====================================================
Authorized Official
=====================================================
Title or Position | OWNER
-----------------------------------------------------
Name | MS. CYNTHIA DENESE DUPREE
-----------------------------------------------------
Credential | CERTIFIED NURSES AID
-----------------------------------------------------
Telephone | 318-352-5578
-----------------------------------------------------
=====================================================
Scope of Practice (Provider's specialty)
=====================================================
Taxonomy #1
-----------------------------------------------------
Taxonomy Code | 251E00000X
-----------------------------------------------------
Taxonomy Name | Home Health Agency
-----------------------------------------------------
License Number |
-----------------------------------------------------
License Number State |
-----------------------------------------------------