MEDICARE: LOVE HEALTH CARE

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

General Provider Information

NPI Number	:	1730741166
Entity Type Code	:	Organization
Provider Name (Legal Business Name)	:	LOVE HEALTH CARE

Provider Business Mailing Address
First Line	:	5441 TACKAWANNA ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19124-1410
Country	:	US
Telephone Number	:	215-866-6452
Fax Number	:

Provider Business Practice Location Address
First Line	:	5441 TACKAWANNA ST
Second Line	:
City	:	PHILA
State	:	PA
Zip	:	19124-1410
Country	:	US
Telephone Number	:	215-866-6452
Fax Number	:

Authorized Official
Title or Position	:	DIRECTOR
Name	:	ADRIANE DENIS COOK
Credential	:
Telephone Number	:	215-866-6452

Provider Enumeration Date	:	07/06/2019
Last Update Date	:	07/06/2019

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Directions to “LOVE HEALTH CARE ” Practice Location

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