Provider Demographics
NPI:1033882147
Name:LOVE AND COMPASSION ON WHEELS HOMECARE
Entity Type:Organization
Organization Name:LOVE AND COMPASSION ON WHEELS HOMECARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:
Authorized Official - First Name:GWENDOLYN
Authorized Official - Middle Name:
Authorized Official - Last Name:HILSON
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-410-5663
Mailing Address - Street 1:2401 2ND ST NW APT 71
Mailing Address - Street 2:
Mailing Address - City:WINTER HAVEN
Mailing Address - State:FL
Mailing Address - Zip Code:33881-4942
Mailing Address - Country:US
Mailing Address - Phone:813-410-5663
Mailing Address - Fax:
Practice Address - Street 1:2401 2ND ST NW APT 71
Practice Address - Street 2:
Practice Address - City:WINTER HAVEN
Practice Address - State:FL
Practice Address - Zip Code:33881-4942
Practice Address - Country:US
Practice Address - Phone:813-410-5663
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2021-07-26
Last Update Date:2021-07-26
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecializationGroup
Yes376J00000XNursing Service Related ProvidersHomemakerGroup - Multi-Specialty