Provider Demographics
NPI:1285822049
Name:A LOVIN TOUCH ANYTIME CARE
Entity Type:Organization
Organization Name:A LOVIN TOUCH ANYTIME CARE
Other - Org Name:A LOVIN TOUCH ANYTIME CARE
Other - Org Type:Former Legal Business Name
Authorized Official - Title/Position:OWNER
Authorized Official - Prefix:MS
Authorized Official - First Name:LESLIE
Authorized Official - Middle Name:NICOLE
Authorized Official - Last Name:MARTIN
Authorized Official - Suffix:
Authorized Official - Credentials:CNA,HHA
Authorized Official - Phone:850-519-6160
Mailing Address - Street 1:PO BOX 5641
Mailing Address - Street 2:
Mailing Address - City:TALLAHASSEE
Mailing Address - State:FL
Mailing Address - Zip Code:32314-5641
Mailing Address - Country:US
Mailing Address - Phone:850-519-6160
Mailing Address - Fax:
Practice Address - Street 1:5889 CYPRESS CIR
Practice Address - Street 2:
Practice Address - City:TALLAHASSEE
Practice Address - State:FL
Practice Address - Zip Code:32303-6708
Practice Address - Country:US
Practice Address - Phone:850-519-6160
Practice Address - Fax:850-668-1039
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2007-10-05
Last Update Date:2007-10-05
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
Provider Identifiers
StateIdentifier IDID TypeIssuer
FL688649396Medicaid