MEDICARE: LOVE THY NEIGHBOR HOME HEALTH CARE INC

Medicare Provider Information

Scope of Practice

The following information about the specialty of the provider is available:

#	Taxonomy Code	Taxonomy	License Number	License Number State
1	251E00000X	Home Health Agency

Other Identifiers

#	Provider Identifier	Provider Identifier Type	Provider Identifier State	Provider Identifier Issuer
1	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
2	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program
3	MEDICAID ID Found: Get Medicaid Details using Online Medicaid Verification Program

General Provider Information

NPI Number	:	1053764316
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE THY NEIGHBOR HOME HEALTH CARE INC

Provider Business Mailing Address
First Line	:	2106 BUTLER ST
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-5502
Country	:	US
Telephone Number	:	352-409-0919
Fax Number	:

Provider Business Practice Location Address
First Line	:	2620 INDUSTRIAL ST
Second Line	:
City	:	LEESBURG
State	:	FL
Zip	:	34748-3611
Country	:	US
Telephone Number	:	352-787-0499
Fax Number	:	352-561-2064

Authorized Official
Title or Position	:	OWNER
Name	:	WANDRETTA L DUDLEY
Credential	:
Telephone Number	:	352-409-0919

Provider Enumeration Date	:	07/21/2016
Last Update Date	:	04/29/2024

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