Provider Demographics
NPI:1003506940
Name:NEW LOVE CARE LLC
Entity Type:Organization
Organization Name:NEW LOVE CARE LLC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER/PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FIDELLA
Authorized Official - Middle Name:T
Authorized Official - Last Name:GABRIELLE
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:502-575-0015
Mailing Address - Street 1:1501 ANNA LN
Mailing Address - Street 2:
Mailing Address - City:LOUISVILLE
Mailing Address - State:KY
Mailing Address - Zip Code:40216-5443
Mailing Address - Country:US
Mailing Address - Phone:502-575-0015
Mailing Address - Fax:
Practice Address - Street 1:1501 ANNA LN
Practice Address - Street 2:
Practice Address - City:LOUISVILLE
Practice Address - State:KY
Practice Address - Zip Code:40216-5443
Practice Address - Country:US
Practice Address - Phone:502-575-0015
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2023-05-12
Last Update Date:2023-05-12
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care