Provider Demographics
NPI:1336674878
Name:LOVING HEART ADULT DAY CARE INC
Entity Type:Organization
Organization Name:LOVING HEART ADULT DAY CARE INC
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:CEO
Authorized Official - Prefix:
Authorized Official - First Name:MIGUEL
Authorized Official - Middle Name:
Authorized Official - Last Name:DIAZ
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:239-437-2788
Mailing Address - Street 1:422 NE 2ND PL
Mailing Address - Street 2:#100
Mailing Address - City:CAPE CORAL
Mailing Address - State:FL
Mailing Address - Zip Code:33909-1955
Mailing Address - Country:US
Mailing Address - Phone:239-437-2788
Mailing Address - Fax:
Practice Address - Street 1:422 NE 2ND PL
Practice Address - Street 2:#100
Practice Address - City:CAPE CORAL
Practice Address - State:FL
Practice Address - Zip Code:33909-1955
Practice Address - Country:US
Practice Address - Phone:239-437-2788
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2017-04-21
Last Update Date:2017-04-21
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care