Provider Demographics
NPI:1114485232
Name:LOVELY HOME HEALTH CARE INC
Entity Type:Organization
Organization Name:LOVELY HOME HEALTH CARE INC
Other - Org Name:LOVELY HOME HEALTH CARE INC
Other - Org Type:Doing Business As
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:BLANCA
Authorized Official - Middle Name:M
Authorized Official - Last Name:PORTILLO
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:786-686-5540
Mailing Address - Street 1:18191 NW 68TH AVE STE 217
Mailing Address - Street 2:
Mailing Address - City:HIALEAH
Mailing Address - State:FL
Mailing Address - Zip Code:33015-3998
Mailing Address - Country:US
Mailing Address - Phone:786-686-5540
Mailing Address - Fax:786-686-5541
Practice Address - Street 1:18191 NW 68TH AVE STE 217
Practice Address - Street 2:
Practice Address - City:HIALEAH
Practice Address - State:FL
Practice Address - Zip Code:33015-3998
Practice Address - Country:US
Practice Address - Phone:786-686-5540
Practice Address - Fax:786-686-5541
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2019-03-07
Last Update Date:2021-09-28
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health