MEDICARE: LIVING A LIFE OF 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	253Z00000X	In Home Supportive Care Agency
2	251E00000X	Home Health Agency

General Provider Information

NPI Number	:	1427567460
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LIVING A LIFE OF LOVE LLC

Provider Business Mailing Address
First Line	:	2880 W OAKLAND PARK BLVD STE 220
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1350
Country	:	US
Telephone Number	:	786-553-1492
Fax Number	:

Provider Business Practice Location Address
First Line	:	2880 W OAKLAND PARK BLVD STE 220
Second Line	:
City	:	OAKLAND PARK
State	:	FL
Zip	:	33311-1350
Country	:	US
Telephone Number	:	786-553-1492
Fax Number	:

Authorized Official
Title or Position	:	OWNER
Name	:	STEPHANIE BAPTISTE
Credential	:
Telephone Number	:	786-553-1492

Provider Enumeration Date	:	09/21/2017
Last Update Date	:	05/20/2019

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Directions to “LIVING A LIFE OF LOVE LLC ” Practice Location

Language	Start Address	Practice Location

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