Provider Demographics
NPI:1346094745
Name:LOVE CARE
Entity Type:Organization
Organization Name:LOVE CARE
Other - Org Name:
Other - Org Type:
Authorized Official - Title/Position:PRESIDENT
Authorized Official - Prefix:
Authorized Official - First Name:FRED
Authorized Official - Middle Name:P
Authorized Official - Last Name:MANDEIN
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:515-553-3383
Mailing Address - Street 1:805 SE SHAWVER DR
Mailing Address - Street 2:
Mailing Address - City:GRIMES
Mailing Address - State:IA
Mailing Address - Zip Code:50111-1118
Mailing Address - Country:US
Mailing Address - Phone:515-553-3383
Mailing Address - Fax:
Practice Address - Street 1:805 SE SHAWVER DR
Practice Address - Street 2:
Practice Address - City:GRIMES
Practice Address - State:IA
Practice Address - Zip Code:50111-1118
Practice Address - Country:US
Practice Address - Phone:515-553-3383
Practice Address - Fax:
EIN:<UNAVAIL>
Is Organization Subpart?:No
Parent Organization LBN:
Parent Organization TIN:
Enumeration Date:2024-04-15
Last Update Date:2024-04-15
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes320600000XResidential Treatment FacilitiesResidential Treatment Facility, Intellectual and/or Developmental Disabilities