MEDICARE: LIVING IN LOVE LLC

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	311ZA0620X	Adult Care Home Facility

General Provider Information

NPI Number	:	1174358345
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING IN LOVE LLC

Provider Business Mailing Address
First Line	:	PO BOX 3125
Second Line	:
City	:	HARVEY
State	:	LA
Zip	:	70059-3125
Country	:	US
Telephone Number	:	504-330-3344
Fax Number	:

Provider Business Practice Location Address
First Line	:	1712 HOLIDAY DR
Second Line	:
City	:	NEW ORLEANS
State	:	LA
Zip	:	70114-3456
Country	:	US
Telephone Number	:	504-395-5683
Fax Number	:

Authorized Official
Title or Position	:	MANAGER
Name	:	KAREN BARNES
Credential	:
Telephone Number	:	504-463-4375

Provider Enumeration Date	:	09/05/2024
Last Update Date	:	09/05/2024

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Directions to “LIVING IN LOVE LLC ” Practice Location

Language	Start Address	Practice Location

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