Provider Demographics
NPI:1346002623
Name:VERA LOVING CARE LLC
Entity Type:Organization
Organization Name:VERA LOVING CARE LLC
Other - Org Name:VERA LOVING CARE
Other - Org Type:Doing Business As
Authorized Official - Title/Position:ADMINISTRATOR
Authorized Official - Prefix:
Authorized Official - First Name:QUANISHA
Authorized Official - Middle Name:ALIYAH
Authorized Official - Last Name:VERA
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:706-910-3580
Mailing Address - Street 1:2047 CHANUPA CT
Mailing Address - Street 2:
Mailing Address - City:GROVETOWN
Mailing Address - State:GA
Mailing Address - Zip Code:30813-3817
Mailing Address - Country:US
Mailing Address - Phone:706-910-3580
Mailing Address - Fax:706-925-5723
Practice Address - Street 1:101 INSPERON DR
Practice Address - Street 2:
Practice Address - City:GROVETOWN
Practice Address - State:GA
Practice Address - Zip Code:30813-0598
Practice Address - Country:US
Practice Address - Phone:706-305-1576
Practice Address - Fax:706-925-5723
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-01-23
Last Update Date:2024-01-23
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes251E00000XAgenciesHome Health
No253Z00000XAgenciesIn Home Supportive Care