Provider Demographics
NPI:1356669758
Name:LOVING LIFE ENTERPRISES, LLC
Entity Type:Organization
Organization Name:LOVING LIFE ENTERPRISES, LLC
Other - Org Name:LOVINGLIFE CARES
Other - Org Type:Doing Business As
Authorized Official - Title/Position:OWNER/MANAGER
Authorized Official - Prefix:
Authorized Official - First Name:KAY
Authorized Official - Middle Name:
Authorized Official - Last Name:TARVER
Authorized Official - Suffix:
Authorized Official - Credentials:
Authorized Official - Phone:813-410-2399
Mailing Address - Street 1:3034 S 78TH ST
Mailing Address - Street 2:
Mailing Address - City:TAMPA
Mailing Address - State:FL
Mailing Address - Zip Code:33619-6506
Mailing Address - Country:US
Mailing Address - Phone:813-410-2399
Mailing Address - Fax:813-612-9491
Practice Address - Street 1:3034 S 78TH ST
Practice Address - Street 2:
Practice Address - City:TAMPA
Practice Address - State:FL
Practice Address - Zip Code:33619-6506
Practice Address - Country:US
Practice Address - Phone:813-410-2399
Practice Address - Fax:813-612-9491
EIN:<UNAVAIL>
Is Organization Subpart?:Yes
Parent Organization LBN:LOVING LIFE ENTERPRISES, LLC
Parent Organization TIN:<UNAVAIL>
Enumeration Date:2010-05-10
Last Update Date:2011-02-16
Deactivation Date:
Deactivation Code:
Reactivation Date:
Provider Licenses
StateLicense IDTaxonomies
FL251B00000X, 251C00000X, 253Z00000X, 347C00000X
251E00000X, 251S00000X
Provider Taxonomies
Primary?CodeTypeClassificationSpecialization
Yes253Z00000XAgenciesIn Home Supportive Care
No251B00000XAgenciesCase Management
No251C00000XAgenciesDay Training, Developmentally Disabled Services
No251E00000XAgenciesHome Health
No251S00000XAgenciesCommunity/Behavioral Health
No347C00000XTransportation ServicesPrivate Vehicle