MEDICARE: LOVE N 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

General Provider Information

NPI Number	:	1588146104
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE N CARE, INC

Provider Business Mailing Address
First Line	:	1817-1821 E VENANGO STREET
Second Line	:	#SUITE 105
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-0001
Country	:	US
Telephone Number	:	267-481-4367
Fax Number	:	215-427-1837

Provider Business Practice Location Address
First Line	:	1817-1821 E VENANGO STREET
Second Line	:	#105
City	:	PHILADELPHIA
State	:	PA
Zip	:	19134-0001
Country	:	US
Telephone Number	:	267-481-4367
Fax Number	:	215-427-1837

Authorized Official
Title or Position	:	PRESIDENT/100 OWNER
Name	:	MR. ABDEL SALAM AHMAD
Credential	:
Telephone Number	:	267-481-4367

Provider Enumeration Date	:	08/30/2018
Last Update Date	:	08/30/2018

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