Provider Demographics
NPI:1003266594
Name:ARMS OF LOVE HOME CARE LLC
Entity Type:Organization
Organization Name:ARMS OF LOVE HOME CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MRS
Authorized Official - First Name:SUZETTE
Authorized Official - Middle Name:A
Authorized Official - Last Name:VILLARD
Authorized Official - Suffix:
Authorized Official - Credentials:LPN, RRT
Authorized Official - Phone:954-248-7897
Mailing Address - Street 1:532 NW 10TH AVE
Mailing Address - Street 2:
Mailing Address - City:FORT LAUDERDALE
Mailing Address - State:FL
Mailing Address - Zip Code:33311-8051
Mailing Address - Country:US
Mailing Address - Phone:954-248-7897
Mailing Address - Fax:
Practice Address - Street 1:532 NW 10TH AVE
Practice Address - Street 2:
Practice Address - City:FORT LAUDERDALE
Practice Address - State:FL
Practice Address - Zip Code:33311-8051
Practice Address - Country:US
Practice Address - Phone:954-248-7897
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2016-06-15
Last Update Date:2016-06-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FLPN5204615310400000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes310400000XNursing & Custodial Care FacilitiesAssisted Living Facility