MEDICARE: HEART LOVING CARE 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	320700000X	Physical Disabilities Residential Treatment Facility
2	320600000X	Intellectual and/or Developmental Disabilities Residential Treatment Facility

General Provider Information

NPI Number	:	1356271977
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	HEART LOVING CARE LLC

Provider Business Mailing Address
First Line	:	187 SABAL PALM DR
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-2595
Country	:	US
Telephone Number	:	407-353-1336
Fax Number	:	407-353-1336

Provider Business Practice Location Address
First Line	:	187 SABAL PALM DR
Second Line	:
City	:	LONGWOOD
State	:	FL
Zip	:	32779-2595
Country	:	US
Telephone Number	:	407-353-1336
Fax Number	:	407-353-1336

Authorized Official
Title or Position	:	MANAGER
Name	:	CAMEKA CAMPBELL
Credential	:
Telephone Number	:	407-353-1336

Provider Enumeration Date	:	05/23/2026
Last Update Date	:	05/23/2026

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Directions to “HEART LOVING CARE LLC ” Practice Location

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